Individual
BENTLEY R VANDEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1544 WINCHESTER AVE STE 808, ASHLAND, KY 41101-7931
(606) 325-4091
Mailing address
1544 WINCHESTER AVE STE 808, ASHLAND, KY 41101-7931
(606) 325-4091
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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