Gregory Mackean Bentley

NPI #1922637743 in Sausalito, California

Provider Information

NPI Number: 1922637743
Entity Type: Individual
Name: Gregory Mackean Bentley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Apr 3, 2020
Last Updated: Apr 3, 2020

Practice Location

Address: 268 BAY VISTA CIR
City: Sausalito
State: California
ZIP Code: 94965-1038
Phone: (415) 306-4034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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