Individual
AYISHA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7B LEDGEBROOK DR, MANSFIELD CENTER, CT 06250-1664
(860) 456-0038
(860) 456-8765
Mailing address
7B LEDGEBROOK DR, MANSFIELD CENTER, CT 06250-1664
(860) 456-0038
(860) 456-8765
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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