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Individual

KERRY BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
20 FAIRFIELD HILL RD, KENNEBUNKPORT, ME 04046-5222
(206) 930-6435
Mailing address
20 FAIRFIELD HILL RD, KENNEBUNKPORT, ME 04046-5222
(206) 930-6435

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC5191
ME

Other

Enumeration date
02/01/2022
Last updated
02/01/2022
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