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Individual

LAWRENCE CARL BENTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCADC

Contact information

Practice address
1655 KY-3094, EAST BERNSTADT, KY 40729
(606) 729-5372
Mailing address
637D ANDERS RD, LONDON, KY 40744-7828
(606) 312-3496

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
281821
KY
101YP2500X
Professional Counselor
290104
KY

Other

Enumeration date
12/11/2023
Last updated
11/05/2025
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