Individual
ADRIENNE JOHANSON BENTSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
602 BRIGHTON AVE, PORTLAND, ME 04102-2324
(207) 200-3055
Mailing address
602 BRIGHTON AVE, PORTLAND, ME 04102-2324
(207) 200-3055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LF60032208
WA
101YM0800X
Mental Health Counselor
Primary
MF5107
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568486009
NPI
WA
Enumeration date
07/27/2006
Last updated
05/16/2022
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