Tracie Bentley
Counselor, Professional in Portsmouth, OH. Individual provider (NPI-1).
NPI number1407370331
StatusActive
Last updated in NPPESFeb 7, 2024
Details
- NPI
- 1407370331
- Entity type
- Individual (NPI-1)
- Name
- Tracie Bentley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2017
- Certification date
- Feb 7, 2024
- Last updated
- Feb 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | C1300122 | OH | Yes |
| 101YM0800X | Counselor, Mental Health | C.1300122 | – |
Practice location
901 Washington StPortsmouth, OH 45662-3944
Phone 740-354-7702 · Fax 740-353-1662
Mailing address
901 Washington StPortsmouth, OH 45662-3944
Phone 740-354-7702 · Fax 740-353-1662
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