Individual
SHELLEY BENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 OCONEE SQUARE DR, SENECA, SC 29678-2546
(662) 263-7296
Mailing address
1424 W MAIN ST, WEST UNION, SC 29696-2534
(662) 263-7296
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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