Individual
JESSICA MAEBELLE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
112 KLAUS TER, WARNER ROBINS, GA 31088-2034
(478) 352-9616
Mailing address
112 KLAUS TER, WARNER ROBINS, GA 31088-2034
(478) 953-3615
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC013101
GA
Other
Enumeration date
09/03/2019
Last updated
06/14/2023
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