Individual
GERALD BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5910 CLIFTON AVE, SAINT LOUIS, MO 63109-3407
(314) 352-1043
Mailing address
7454 GRANT VILLAGE DR, APT. A, SAINT LOUIS, MO 63123-1434
(314) 458-5798
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013002018
MO
101YS0200X
School Counselor
0441047
MO
Other
Enumeration date
01/20/2017
Last updated
08/26/2025
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