STEPHEN BENNETT

GRASS VALLEY, CA
NPI1124820444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  21054)
Enumeration Date2025-03-26
Last Update Date2025-03-26
Business Address
STEPHEN BENNETT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-273-9541
Mailing Address
STEPHEN BENNETT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-273-9541
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