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Individual
MISS PAIGE ROSE BENNETT
Active
Individual
MISS PAIGE ROSE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC, LADAC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CTB-2025-0319
NM
101YM0800X
Mental Health Counselor
Primary
CTB-2025-0331
NM
106H00000X
Marriage & Family Therapist
CTB-2025-0517
NM
Other
Enumeration date
01/01/2024
Last updated
07/15/2026
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