ELLERY BENTLEY

SAN DIEGO, CA
NPI1134243165
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFT38523)
Enumeration Date2007-03-16
Last Update Date2011-03-08
Business Address
-- ELLERY BENTLEY
2535 KETTNER BLVD
SAN DIEGO, CA 92101-1250
Phone number: 619-615-0701
Mailing Address
-- ELLERY BENTLEY
2535 KETTNER BLVD
SAN DIEGO, CA 92101-1250
Phone number: 619-615-0701
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