Individual
AMANDA LEIGH BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
66 STONE ST, AUGUSTA, ME 04330-5227
(207) 855-7635
Mailing address
66 STONE ST, AUGUSTA, ME 04330-5227
(207) 855-7635
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC8812
ME
101YM0800X
Mental Health Counselor
XL7995
ME
Other
Enumeration date
06/24/2024
Last updated
03/11/2025
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