Individual
JANINE MICHELLE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC I
Contact information
Practice address
1320 GOOD HOPE RD SE, WASHINGTON, DC 20020-6912
(202) 610-1886
Mailing address
655 JEFFERSON ST NE, WASHINGTON, DC 20011-2642
(202) 276-3152
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CACI1097
DC
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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