Individual
ROBERT BENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
PREFERRED BEHAVIORAL HEALTH, 450 ELTON ADELPHIA ROAD, HOWELL, NJ 07719
(732) 938-3175
Mailing address
1716 LEONARD ST, WALL TOWNSHIP, NJ 07719-3433
(732) 681-5867
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00080000
NJ
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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