Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Richard Cross Bennett, Jr. | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States | [sources] | |||
First name | Richard | [sources] | |||
Last name | Bennett, Jr. | [sources] | |||
Middle name | Cross | [sources] | |||
Registration number | 115336 | [sources] | |||
Sector | Marriage & Family Counselor/Therapist | [sources] | |||
Address | 2633 Dana Street, Berkeley, CA, 94704 | [sources] | |||
Last change | Last processed | First seen |
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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