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NPI Code Detail

MEDICARE: MR. CHRISTOPHER ALAN BENTLEY LPC

MEDICARE: MR. CHRISTOPHER ALAN BENTLEY LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor3032TN
2101YP2500XProfessional Counselor5953OK

General Provider Information

NPI Number : 1770781825
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER ALAN BENTLEY LPC
Provider Business Mailing Address
First Line : 23 E ROSS AVE
Second Line :
City : SAPULPA
State : OK
Zip : 74066-6423
Country : US
Telephone Number : 918-216-4999
Fax Number :
Provider Business Practice Location Address
First Line : 23 E ROSS AVE
Second Line :
City : SAPULPA
State : OK
Zip : 74066-6423
Country : US
Telephone Number : 918-216-4999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2007
Last Update Date : 01/18/2017

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Directions to “ MR. CHRISTOPHER ALAN BENTLEY LPC” Practice Location

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