Individual
EMYRTLE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 WISCONSIN AVE NW STE 340, WASHINGTON, DC 20007-3680
(855) 284-7483
(617) 807-0958
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC944
DC
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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