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Individual

JEFFREY BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
115 HABERSHAM DR, FAYETTEVILLE, GA 30214-7353
(770) 461-9944
Mailing address
PO BOX 323, CARROLLTON, GA 30112-0006

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC015796
GA

Other

Enumeration date
07/01/2022
Last updated
12/02/2025
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