MICHAEL BENNETT

MOUNT VERNON, OH
NPI1245680818
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.150861)
Enumeration Date2016-06-15
Last Update Date2016-06-15
Business Address
-- MICHAEL BENNETT CDCA
106 E GAMBIER ST
MOUNT VERNON, OH 43050-3510
Phone number: 740-397-2660
Mailing Address
-- MICHAEL BENNETT CDCA
106 E GAMBIER ST
MOUNT VERNON, OH 43050-3510
Phone number: 740-397-2660