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Jesse Thomas Bennett, LCASA
Addiction (Substance Use Disorder) Counselor in Raleigh, North Carolina
NPI 1659086775

Jesse Thomas Bennett is an Addiction (Substance Use Disorder) Counselor based in Raleigh, NC and is specialized in Addiction (Substance Use Disorder). Jesse Thomas Bennett practices in Raleigh, NC and has the professional credentials of LCASA. The NPI Number for Jesse Thomas Bennett is 1659086775 and holds a License No. 25008 (North Carolina).

The current practice location address for Jesse Thomas Bennett is 3209 Gresham Lake Rd Ste 113, Raleigh, NC and can be reached out via phone at 919-977-5993.

Location: 3209 Gresham Lake Rd Ste 113, Raleigh, NC, 27615-4131
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Provider Profile Details
NPI Number
1659086775
Provider Name
Jesse Thomas Bennett
Credential
LCASA
Provider Entity Type
Individual
Gender
Male
Address
3209 Gresham Lake Rd Ste 113, Raleigh, NC, 27615-4131
Phone Number
919-977-5993
Fax Number
Provider Enumeration Date
01/23/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
25008 05 NC
institution
Provider Business Practice Location Address Details
Address
3209 Gresham Lake Rd Ste 113
City
State
Zip
27615-4131
Phone Number
919-977-5993
Fax Number
person
Provider Business Mailing Address Details
Address
3209 Gresham Lake Rd Ste 113
City
State
Zip
27615-4131
Phone Number
919-977-5993
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
25008 (North Carolina)
Definition
Definition to come...
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