Organization
BENTLEY COUNSELING AND CONSULTING,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATRINA K. BENTLEY NP (CO-OWNER)
(208) 305-2149
Entity
Organization
Contact information
Practice address
365 CENTER RD., GRANGEVILLE, ID 83530-0145
(208) 983-5535
Mailing address
PO BOX 145, P.O. BOX 145, GRANGEVILLE, ID 83530-0145
(208) 983-5535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1190
ID
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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