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MR. DARRYL ANTHONY BENNETT CSII

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1992881924

Individual Registrant:
MR. DARRYL ANTHONY BENNETT CSII
Gender: M
Sole Proprietor

Location and contact information for practice:
250 BON AIR RD  GREENBRAE, CA 94904 US
Tel: 415-499-6830  Fax: --

Contact information for business:
160 SAWYER ST  VALLEJO, CA 94589-2039 US
Tel: 707-557-1688  Fax: --

Registration Information:
NPI: 1992881924
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
CAPT 24852
Y167G00000XNursing Service Providers
Licensed Psychiatric Technician
CAPT 24852

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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