Individual
CALANDRA J BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5950 CROOKED CREEK RD STE 170K, PEACHTREE CORNERS, GA 30092-2406
(740) 561-3041
(888) 505-6039
Mailing address
5950 CROOKED CREEK RD STE 170K, PEACHTREE CORNERS, GA 30092-2406
(740) 561-3041
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
PC010937
GA
101YM0800X
Mental Health Counselor
PC010937
GA
101YP2500X
Professional Counselor
Primary
PC010937
GA
Other
Enumeration date
05/15/2019
Last updated
02/28/2022
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