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Individual

MISS PAIGE ROSE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMHC, LADAC, NCC

Contact information

Practice address
918 PINEHURST RD SE, RIO RANCHO, NM 87124-2568
(505) 218-6383
Mailing address
918 PINEHURST RD SE STE 101, RIO RANCHO, NM 87124-2568
(505) 353-7926

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2025-0319
NM
101YM0800X
Mental Health Counselor
CTB-2025-0331
NM
106H00000X
Marriage & Family Therapist
CTB-2025-0517
NM

Other

Enumeration date
01/01/2024
Last updated
03/03/2026
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