Individual
ERICA PAULINE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25932 N SANDSTONE WAY, SURPRISE, AZ 85387-6837
(602) 638-2424
Mailing address
12530 W LINCOLN ST, AVONDALE, AZ 85323-8453
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-23163
AZ
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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