Individual
MS. HEIDI SUE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
89 MAIN ST, MEXICO, ME 04257-1440
(207) 739-2644
(207) 739-2467
Mailing address
235 MAIN ST, NORWAY, ME 04268-5943
(207) 739-2644
(207) 739-2467
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC3731
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC5006
ME
Other
Enumeration date
04/02/2010
Last updated
10/29/2019
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