GERALD BENTLEY

SAINT LOUIS, MO
NPI1124565833
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YS0200X Counselor, School
(Licence: MO  0441047)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: MO  2013002018)
Enumeration Date2017-01-20
Last Update Date2017-01-20
Business Address
-- GERALD BENTLEY LPC
5910 CLIFTON AVE
SAINT LOUIS, MO 63109-3407
Phone number: 314-352-1043
Mailing Address
-- GERALD BENTLEY LPC
7454 GRANT VILLAGE DR APT. A
SAINT LOUIS, MO 63123-1434
Phone number: 314-458-5798
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