MR. Mark Allen Bennett, LCPC-C

NPI #1073031340 in Bangor, Maine

Provider Information

NPI Number: 1073031340
Entity Type: Individual
Name: MR. Mark Allen Bennett, LCPC-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LCPC-C
Enumeration Date: Sep 6, 2017
Last Updated: May 1, 2018

Practice Location

Address: 166 BROADWAY
City: Bangor
State: Maine
ZIP Code: 04401-5208
Phone: (207) 947-9630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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