Individual
LESLIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 ORCHARD PARK RD, WEST SENECA, NY 14224-2635
(716) 828-0560
(716) 823-0751
Mailing address
227 THORN AVE, ORCHARD PARK, NY 14127-2600
(716) 662-2040
(716) 662-0019
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33702
NY
Other
Enumeration date
07/19/2019
Last updated
05/12/2022
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