BRADLEY JUSTIN BENTER

TRUCKEE, CA
NPI1881222677
Other NameJACK BENTER
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: CA  110993)
Enumeration Date2020-03-29
Last Update Date2020-03-29
Business Address
Mr. BRADLEY JUSTIN BENTER AMFT
10116 JIBBOOM ST
TRUCKEE, CA 96161-0101
Phone number: 209-417-2819
Mailing Address
Mr. BRADLEY JUSTIN BENTER AMFT
10116 JIBBOOM ST
TRUCKEE, CA 96161-0101
Phone number: 209-417-2819
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