Basil Bennett
Basil Bennett is a Peer Specialist in Logan, West Virginia. Licensed in West Virginia. Registered with an NPI since 2022.
- Licensed in
- WV
- In the registry since
- 2022
Practice location Address checks out
174 Lmah Center RdLogan, WV 25601-4058
Phone: (304) 792-7130
Fax: (304) 896-5184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 0072 (WV) |
|---|
Record details
| NPI number | 1821724543 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 26, 2022 |
| Last updated in NPPES | July 26, 2022 |
| Certification date | July 26, 2022 |
| Mailing address | Po Box 176, Logan, WV 25601-0176 |
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