Individual
JACOB MICHAEL BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3712 MIDDLEBROOK PIKE, KNOXVILLE, TN 37921-6503
(865) 444-2333
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4619
TN
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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