Individual provider · Type 1 NPI

Mariah Lynn Bennett

Professional Counselor · Colorado Springs, CO

NPI number 1003529033 Active

Practice location

5475 Mark Dabling Blvd Ste 100
Colorado Springs, CO 80918-3847

Fax (617) 807-0958

Mailing address

PO Box 748465
Atlanta, GA 30374-8465

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPCC.0017180 (CO)

Professional Counselor: Definition to come...

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About NPI 1003529033

Mariah Lynn Bennett's National Provider Identifier is 1003529033, issued on Jan 4, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Colorado Springs, CO. The record was last updated on Jan 4, 2023.