Individual
BENNECIA GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC, NCC, LPC
Contact information
Practice address
139 HENRY PKWY, MCDONOUGH, GA 30253-6636
(770) 358-5252
(770) 898-7412
Mailing address
6001 TRAMMELL RD APT 111, MORROW, GA 30260-1351
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011778
GA
2255A2300X
Athletic Trainer
LPC011778
GA
Other
Enumeration date
10/14/2020
Last updated
11/20/2020
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