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Elliott Bennett
Addiction (Substance Use Disorder) Counselor in Lucerne, California
NPI 1235311630

Elliott Bennett is an Addiction (Substance Use Disorder) Counselor based in Lucerne, CA and is specialized in Addiction (Substance Use Disorder). Elliott Bennett practices in Lucerne, CA. The NPI Number for Elliott Bennett is 1235311630 and holds a License No. (California).

The current practice location address for Elliott Bennett is 6300 E. Hwy 20, Lucerne, CA and can be reached out via phone at 707-349-0629.

Location: 6300 E. Hwy 20, Lucerne, CA, 95458-1978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235311630
Provider Name
Elliott Bennett
Credential
Provider Entity Type
Individual
Gender
Male
Address
6300 E. Hwy 20, Lucerne, CA, 95458-1978
Phone Number
707-349-0629
Fax Number
Provider Enumeration Date
11/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6300 E. Hwy 20
City
Lucerne
State
California
Zip
95458
Phone Number
707-349-0629
Fax Number
person
Provider Business Mailing Address Details
Address
6300 E. Hwy 20
City
Lucerne
State
California
Zip
95458
Phone Number
707-349-0629
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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