Individual
SUSAN BETH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
29 GAMECOCK AVE, SUITE 101, CHARLESTON, SC 29407-2946
(269) 271-3837
Mailing address
2413 KINGS GATE LN, MT PLEASANT, SC 29466-8186
(269) 271-3837
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6637
SC
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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