Individual
DEVIN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9970 LAKE FOREST BLVD, NEW ORLEANS, LA 70127-2609
(504) 267-0194
Mailing address
701 N DERBIGNY ST, NEW ORLEANS, LA 70116-2805
(215) 882-1627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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