Individual
DANIELLE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CACD-I
Contact information
Practice address
1201 N CARSON ST, CARSON CITY, NV 89701-1203
(775) 350-7250
Mailing address
1201 N CARSON ST, CARSON CITY, NV 89701-1203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
02126-I
NV
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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