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Individual
LAWRENCE CARL BENTLEY
Active
Individual
LAWRENCE CARL BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
281821
KY
101YP2500X
Professional Counselor
290104
KY
Other
Enumeration date
12/11/2023
Last updated
11/05/2025
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