-- GREGORY JAMES BENNETT -- LAT
Individual Provider (NPI-1)
Active
Counselor, Addiction (Substance Use Disorder)
Provider Information
- NPI Number
1194034454- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LAT
- Status
- Active
Contact & Location
- Address
- 249 E 2ND ST STE 1, POWELL, WY, 824351959
- Phone
- (307) 254-2038
Specialties & Taxonomies
Counselor, Addiction (Substance Use Disorder)
Primary License: WY #LAT326