Individual
BRIAN L BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 WILD ROSE LANE, SUITE 400, WEST DES MOINES, IA 50266
(515) 822-5686
(515) 661-6101
Mailing address
5500 WILD ROSE LANE, SUITE 400, WEST DES MOINES, IA 50266
(515) 822-5686
(515) 661-6101
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
09002
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09002
CADC
IA
Enumeration date
01/22/2018
Last updated
06/10/2020
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