Individual
TAWANDA L BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
2202 FAYETTEVILLE RD., ROCKINGHAM, NC 28379
(910) 975-1416
Mailing address
2202 FAYETTEVILLE RD, ROCKINGHAM, NC 28379-4046
(910) 975-1416
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3386A
NC
Other
Enumeration date
03/06/2015
Last updated
10/25/2017
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