-- CHARLES RAUL BENNETT --
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1407155112- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 720 W COURT ST STE 8, PASCO, WA, 993014178
- Phone
- (509) 545-6506
Specialties & Taxonomies
Counselor, Mental Health
Primary License: WA #CG60156371