Individual
LINDA PIKE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
195 EAST RD STE 104, LOS ALAMOS, NM 87544-4301
(505) 412-7756
Mailing address
195 EAST RD STE 104, LOS ALAMOS, NM 87544-4301
(505) 412-7756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0184281
NM
101YM0800X
Mental Health Counselor
Primary
0186941
NM
101YM0800X
Mental Health Counselor
Primary
0214851
NM
Other
Enumeration date
10/19/2016
Last updated
01/14/2026
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