Individual
LANA L BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, NCC, L.P.C.
Contact information
Practice address
3840 E RAY RD, SUITE 105, PHOENIX, AZ 85044-7180
(602) 571-7998
Mailing address
PO BOX 21953, MESA, AZ 85277-1953
(602) 571-7998
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 10801
AZ
Other
Enumeration date
06/20/2008
Last updated
08/24/2009
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