Individual
ALYSSA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6298 INDUCON DR E, SANBORN, NY 14132-9013
(716) 984-5179
Mailing address
301 E DELAVAN AVE, BUFFALO, NY 14208-1314
(716) 984-5179
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
10/27/2021
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