Individual
THERESA BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9412 BIG HORN BLVD STE 6, ELK GROVE, CA 95758-1101
(916) 710-5871
(916) 226-2804
Mailing address
9412 BIG HORN BLVD STE 6, ELK GROVE, CA 95758-1101
(916) 710-5871
(916) 226-2804
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/03/2016
Last updated
07/07/2023
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