person
Mr. Jonathan Antonio Bennett JR., MA,LPC-A
Mental Health Counselor in North Myrtle Beach, South Carolina
NPI 1821572140

Jonathan Antonio Bennett JR. is a Mental Health Counselor based in Conway, SC and is specialized in Mental Health. Jonathan Antonio Bennett JR. practices in North Myrtle Beach, SC and has the professional credentials of MA,LPC-A. The NPI Number for Jonathan Antonio Bennett JR. is 1821572140 and holds a License No. 6918 (South Carolina).

The current practice location address for Jonathan Antonio Bennett JR. is 110 Ye Olde Kings Hwy, North Myrtle Beach, SC and can be reached out via phone at 843-663-0770 and via fax at 843-663-0772.

Location: 110 Ye Olde Kings Hwy, North Myrtle Beach, SC, 29527-8200
person
Provider Profile Details
NPI Number
1821572140
Provider Name
Jonathan Antonio Bennett JR.
Credential
MA,LPC-A
Provider Entity Type
Individual
Gender
Male
Address
110 Ye Olde Kings Hwy, North Myrtle Beach, SC, 29527-8200
Phone Number
843-663-0770
Fax Number
843-663-0772
Provider Enumeration Date
09/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 Ye Olde Kings Hwy
City
State
Zip
29582-4384
Phone Number
843-663-0770
Fax Number
843-663-0772
person
Provider Business Mailing Address Details
Address
110 Ye Olde Kings Hwy
City
State
Zip
29582-4384
Phone Number
843-663-0770
Fax Number
843-663-0772
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6918 (South Carolina)
Definition
Definition to come...
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