Individual
BENNETT RACHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
6108 ARLINGTON RD, JACKSONVILLE, FL 32211-5420
(904) 569-6499
Mailing address
1623 TROTTERS BEND TRL, JACKSONVILLE, FL 32225-5519
(904) 753-7757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19000
FL
Other
Enumeration date
06/18/2017
Last updated
05/06/2022
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