Gregory James Bennett, LAT

NPI #1194034454 in Powell, Wyoming

Provider Information

NPI Number
1194034454
Entity Type
Individual
Name
Gregory James Bennett, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LAT
Enumeration Date
Oct 4, 2010
Last Updated
Feb 25, 2015

Practice Location

Address
249 E 2ND ST STE 1
City
Powell
State
Wyoming
ZIP Code
82435-1959
Phone
(307) 254-2038

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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