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Individual

MR. JAMES BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
289 HIGHWAY 90 E UNIT H, LITTLE RIVER, SC 29566-9298
(843) 685-0998
(843) 695-7681
Mailing address
289 HIGHWAY 90 E UNIT H, LITTLE RIVER, SC 29566-9298
(304) 610-8661
(843) 695-7681

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5807
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PC1631
SC
Enumeration date
07/15/2014
Last updated
12/14/2018
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