JONATHAN ANTONIO BENNETT

NORTH MYRTLE BEACH, SC
NPI1821572140
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: SC  6918)
Enumeration Date2018-09-21
Last Update Date2018-09-27
Business Address
Mr. JONATHAN ANTONIO BENNETT MA, LPC-A
110 YE OLDE KINGS HWY
NORTH MYRTLE BEACH, SC 29582-4384
Phone number: 843-663-0770
Mailing Address
Mr. JONATHAN ANTONIO BENNETT MA, LPC-A
1909 CAPELLA CT
CONWAY, SC 29527-8200
Phone number: 843-450-4055
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