Individual
TAMMY BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5416 SHARP ACORN CT, WILMINGTON, NC 28409-5400
(616) 822-9547
Mailing address
5416 SHARP ACORN CT, WILMINGTON, NC 28409-5400
(616) 822-9547
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401008682
MI
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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