Individual
MR. ERITH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAPC
Contact information
Practice address
530 PARKWOOD WAY, JONESBORO, GA 30236-1309
(770) 460-0970
Mailing address
180 WHITE TAIL CT, FAYETTEVILLE, GA 30214-4918
(240) 938-0175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC004852
GA
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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