Individual
MS. BEVERLY M. BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C., N.C.C.
Contact information
Practice address
3711 PARKS MILL RD, BUCKHEAD, GA 30625-2234
(706) 474-0816
Mailing address
3711 PARKS MILL RD, BUCKHEAD, GA 30625-2234
(706) 474-0816
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006736
GA
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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