JOSHUA DANIEL BENNETT

PORTLAND, OR
NPI1043971930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-01-04
Last Update Date2023-02-10
Business Address
JOSHUA DANIEL BENNETT
17710 NE HALSEY ST
PORTLAND, OR 97230-6734
Phone number: 971-293-3468
Mailing Address
JOSHUA DANIEL BENNETT
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170