Individual provider · Type 1 NPI
Gregory James Bennett, LAT
Addiction (Substance Use Disorder) Counselor · Powell, WY
NPI number
1194034454
Active
Practice location
249 E 2nd St Ste 1
Powell, WY 82435-1959
Mailing address
1051 Morning Glory Ln
Powell, WY 82435-2266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LAT326 (WY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Powell
About NPI 1194034454
Gregory James Bennett, LAT's National Provider Identifier is 1194034454, issued on Oct 4, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Powell, WY. The record was last updated on Feb 25, 2015.