Individual
BENTLEY DUSABLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
366 FOOTBRIDGE RD, SAINT JOHNS, FL 32259-8787
(858) 752-3077
Mailing address
366 FOOTBRIDGE RD, SAINT JOHNS, FL 32259-8787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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