Individual
MR. TRACY W BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
55 BELL ST, PORTLAND, ME 04103-3418
(207) 604-2461
(207) 514-8333
Mailing address
1590 MILTON MILLS RD, ACTON, ME 04001-5008
(207) 604-2461
(207) 514-8333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC1576
ME
Other
Enumeration date
05/14/2007
Last updated
07/09/2021
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