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Individual

ELLA BENNETT BEVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
118 E MOBILE ST STE 307, FLORENCE, AL 35630-4757
(256) 760-1211
(256) 768-5288
Mailing address
118 E MOBILE ST STE 307, FLORENCE, AL 35630-4757
(256) 760-1211
(256) 768-5288

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3287
AL

Other

Enumeration date
08/10/2011
Last updated
03/17/2018
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