NPI 1194034454

Gregory James Bennett, LAT

Practitioner Addiction (Substance Use Disorder) Counselor Powell, WY

Practice location

Address: 249 E 2nd St STE 1, Powell, WY 82435-1959
Phone: (307) 254-2038
Mailing address: 1051 Morning Glory Ln, Powell, WY 82435-2266

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence LAT326 (WY)

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Registry record

NPI: 1194034454
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Oct 2010
Record last updated: 25 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.