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Mark Bennett
Mental Health Counselor in San Diego, California
NPI 1871912287

Mark Bennett is a Mental Health Counselor based in San Diego, CA and is specialized in Mental Health. Mark Bennett practices in San Diego, CA. The NPI Number for Mark Bennett is 1871912287 and holds a License No. (California).

The current practice location address for Mark Bennett is 829 27Th St, San Diego, CA and can be reached out via phone at 619-575-4687 and via fax at 618-575-1215.

Location: 829 27Th St, San Diego, CA, 92102-2710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871912287
Provider Name
Mark Bennett
Credential
Provider Entity Type
Individual
Gender
Male
Address
829 27Th St, San Diego, CA, 92102-2710
Phone Number
619-575-4687
Fax Number
618-575-1215
Provider Enumeration Date
04/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
829 27Th St
City
San Diego
State
California
Zip
92102-2710
Phone Number
619-575-4687
Fax Number
618-575-1215
person
Provider Business Mailing Address Details
Address
829 27Th St
City
San Diego
State
California
Zip
92102-2710
Phone Number
619-575-4687
Fax Number
618-575-1215
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
92710 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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