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Individual

AMBER LYNN BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3006 E GOLDSTONE DR, MERIDIAN, ID 83642-1549
(208) 515-7661
Mailing address
320 11TH AVE S STE 204, NAMPA, ID 83651-5074
(208) 943-1561

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9620
ID

Other

Enumeration date
06/08/2023
Last updated
07/07/2025
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