Individual
JEFFREY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3210 E 44TH AVE, APARTMENT K-106, SPOKANE, WA 99223-7709
(509) 448-5577
Mailing address
3210 E 44TH AVE, APARTMENT K-106, SPOKANE, WA 99223-7709
(509) 448-5577
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WA
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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