Bennett, Justin
Bennett, Justin is an individual health care provider with primary practice located at 6104 Avenue Q South Dr , Lubbock TX 79412-3700. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bennett, Justin can be contacted via phone (806) 477-2187.Contact Information
Primary practice address
6104 Avenue Q South Dr
Lubbock TX 79412-3700
Phone: (806) 477-2187
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 41635 | Texas |
Profile Details
| NPI number | 1275076663 |
|---|---|
| LBN Legal business name | Bennett, Justin |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2016 |
| Last updated | Dec 2nd, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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