Individual
ANGELA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3040 HOLCOMB BRIDGE RD, NORCROSS, GA 30071-1377
(770) 696-9231
Mailing address
2512 SUMMIT CREEK DR, STONE MOUNTAIN, GA 30083-6425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/20/2019
Last updated
04/20/2019
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