Individual
CHARLOTTE E BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
755 27TH AVE SW STE 9&10, VERO BEACH, FL 32968-4200
(772) 257-5264
Mailing address
614 30TH AVE SW, VERO BEACH, FL 32968-3223
(772) 643-2243
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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