Individual
LYNN BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
4945 CENTURY OAKS LN, WINSTON SALEM, NC 27106-8721
(336) 905-9002
Mailing address
4945 CENTURY OAKS LN, WINSTON SALEM, NC 27106-8721
(336) 905-9002
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A15364
NC
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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