Individual
MRS. LISA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
454 HURFFVILLE CROSSKEYS RD, SEWELL, NJ 08080-2339
(856) 582-1419
Mailing address
454 HURFFVILLE CROSSKEYS RD, SEWELL, NJ 08080-2339
(856) 582-1419
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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