Individual provider · Type 1 NPI

Elliott Bennett

Addiction (Substance Use Disorder) Counselor · Lucerne, CA

NPI number 1235311630 Active

Practice location

6300 E. Hwy 20
Lucerne, CA 95458

Mailing address

PO Box 1978
Lucerne, CA 95458-1978

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1235311630

Elliott Bennett's National Provider Identifier is 1235311630, issued on Nov 28, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lucerne, CA. The record was last updated on Nov 28, 2007.