Individual
BENNETT ADAMS REISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-4985
Mailing address
6332 ENTRADA DE MILAGRO APT 523, SANTA FE, NM 87507-1647
(516) 713-5410
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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