Individual
BRIAN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
542 N MAIN ST, FALL RIVER, MA 02720-3515
(508) 674-2788
Mailing address
542 N MAIN ST, FALL RIVER, MA 02720-3515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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