Individual
GARY BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 FRANKLIN AVE, NEW ORLEANS, LA 70117-7603
(504) 947-4443
(504) 947-4443
Mailing address
1919 FRANKLIN AVE, NEW ORLEANS, LA 70117-7603
(504) 947-4443
(504) 947-4443
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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