Individual
MADISON BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
801 CRAWFORD AVE, AUGUSTA, GA 30904-3711
(706) 836-2224
Mailing address
397 CONNOR CIR, EVANS, GA 30809-6137
(706) 836-2224
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005710
GA
Other
Enumeration date
11/17/2009
Last updated
08/01/2016
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