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Individual
MR. JOHNATHAN LUCAS BENNETT
Active
Individual
MR. JOHNATHAN LUCAS BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCA I
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301969
KY
376K00000X
Nurse's Aide
4035841
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
301969
CADCA
KY
01
—
4035841
SRNA
KY
Enumeration date
01/14/2026
Last updated
01/14/2026
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