Individual
ELEANOR DIANNE BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
628 E CREEK AVE, MCALESTER, OK 74501-6930
(918) 423-6030
(918) 423-2370
Mailing address
PO BOX 239, LANE, OK 74555-0239
(580) 889-4720
(580) 889-4720
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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