Individual
EMILY MICHELLE BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
316 N MICHIGAN ST STE 914, TOLEDO, OH 43604-5665
(419) 246-9405
Mailing address
316 N MICHIGAN ST STE 914, TOLEDO, OH 43604-5665
(419) 246-9405
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.165339
OH
104100000X
Social Worker
Primary
S.1903509
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273990
—
OH
Enumeration date
04/05/2018
Last updated
03/19/2020
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