Search › California › 1041C0700X
Jamie Bennett, LCSW
NPI 1992220297 · on the registry since 2017 · sole proprietor
Practice
- Address
- 631 Tennessee St Ste 101
Vallejo, CA 94590 - Phone
- (617) 379-0469
- Organisation at this address
- Kelly Horton, Psy.D.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- NY, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California