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Individual

MRS. RACHEL LEE BENTLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
1300 N MILLER RD, BUCKEYE, AZ 85326-1000
(623) 236-3685
Mailing address
PO BOX 1118, BUCKEYE, AZ 85326-0083
(951) 704-8788

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
50929
CA
106H00000X
Marriage & Family Therapist
Primary
LMFT-15246
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9888
MEDI-CAL STAFF NUMBER
CA
Enumeration date
03/09/2007
Last updated
05/11/2018
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