Doctor Name: | SARAH B BENNETT |
NPI Number: | 1164737748 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SAC-I |
License Number: | |
Business Practice Address: | 231 Core Rd Richlands, NC - 285748139 |
Business Phone Number: | 9109774260 |
Business Fax Number: | |
Mailing Address: | 231 Core Rd, RICHLANDS |
State: | NC |
Postal Code: | 285748139 |
Phone Number: | 9109774260 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2010 |
NPI Last Update Date: | 08/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |