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Individual
STEPHEN N BENTLEY
Active
Individual
STEPHEN N BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CAC III
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
989654
CO
101YM0800X
Mental Health Counselor
989654
CO
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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