Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL MARTIN BENNETT, LAC
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · KAILUA KONA, HI
Registration Details
- NPI Number
- 1467788364
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2009 (16.485878465098 yrs)
- Last Updated
- Oct 27, 2009
- License
-
667 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
75-377 HUALALAI RDKAILUA KONA, HI, 967409724Browse HI providers · Browse ZIP 96740
- Phone
- 8083290774
- Fax
- 8083290076
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in KAILUA KONA, HI
| Name | Credential | NPI |
|---|---|---|
| MR. FERNANDO MANON | — | 1821485517 |
| KEVIN DEEDS | SAC | 1114631629 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.