Individual
MARY ROSE GHAMMACHI BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC PHD
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0894
NM
103T00000X
Psychologist
Primary
0894
NM
103TP0814X
Psychoanalysis Psychologist
0894
NM
Other
Enumeration date
12/05/2006
Last updated
09/11/2025
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