person
Mr. Jeffrey L Bennett, LCSW
Professional Counselor in Gulfport, Mississippi
NPI 1740214089

Jeffrey L Bennett is a Professional Counselor based in Gulfport, MS and is specialized in Professional. Jeffrey L Bennett practices in Gulfport, MS and has the professional credentials of LCSW. The NPI Number for Jeffrey L Bennett is 1740214089 and holds a License No. C0580 (Mississippi).

The current practice location address for Jeffrey L Bennett is 1600 Broad Ave, Gulfport, MS and can be reached out via phone at 228-863-1132 and via fax at 228-865-1700.

Location: 1600 Broad Ave, Gulfport, MS, 39501-3603
person
Provider Profile Details
NPI Number
1740214089
Provider Name
Jeffrey L Bennett
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
1600 Broad Ave, Gulfport, MS, 39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018213 05 MS
institution
Provider Business Practice Location Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
person
Provider Business Mailing Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C0580 (Mississippi)
Definition
Definition to come...
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