Organization
KERRY BENNETT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY BENNETT LCPC (PSYCHOTHERAPIST)
(206) 930-6435
Entity
Organization
Contact information
Practice address
541 OCEAN HOUSE RD, CAPE ELIZABETH, ME 04107-2607
(206) 930-6435
Mailing address
117 SUMMIT TER APT 96, SOUTH PORTLAND, ME 04106-2276
(206) 930-6435
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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