Individual
INDIA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
290 S CENTER ST, WESTMINSTER, MD 21157-5219
(410) 876-4800
Mailing address
290 S CENTER ST, WESTMINSTER, MD 21157-5219
(410) 876-4800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC5747
MD
101YM0800X
Mental Health Counselor
LC5747
MD
101YP2500X
Professional Counselor
Primary
LC5747
MD
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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