Individual
BRENDA G BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDC, LSW
Contact information
Practice address
411 COURT ST, PORTSMOUTH, OH 45662
(614) 395-0136
(614) 395-0136
Mailing address
923 FINDLAY ST, PORTSMOUTH, OH 45662-4148
(614) 395-0136
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
161098
KY
104100000X
Social Worker
Primary
S.0031881
OH
Other
Enumeration date
06/09/2017
Last updated
11/06/2018
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