Individual
MS. SUSAN RAYE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
1310 MIDDLEFORD RD, STE 102, SEAFORD, DE 19973-3670
(302) 404-3399
(302) 536-7498
Mailing address
1310 MIDDLEFORD RD, STE 102, SEAFORD, DE 19973-3670
(302) 236-2394
(302) 536-7498
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0000565
DE
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000593172
—
DE
Enumeration date
09/06/2011
Last updated
12/19/2022
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