Organization
HEARTHSTONE COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WINSTON BENNETT JR. PH.D. (C.E.O.)
(916) 556-4178
Entity
Organization
Contact information
Practice address
1380 LEAD HILL BLVD, STE. 110, ROSEVILLE, CA 95661-2941
(916) 481-4585
(916) 786-3080
Mailing address
1380 LEAD HILL BLVD, STE. 110, ROSEVILLE, CA 95661-2941
(916) 481-4585
(916) 786-3080
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY17517
CA
Other
Enumeration date
08/18/2005
Last updated
08/09/2007
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