Individual
LAUREN MARIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACI
Contact information
Practice address
2307 GENESEE ST, UTICA, NY 13501-6107
(315) 223-8889
Mailing address
5889 E COUNTY LINE RD, SOUTH BRANCH, MI 48761-9533
(315) 725-5918
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/05/2020
Last updated
01/21/2026
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