Individual provider · Type 1 NPI

Isaiah Bennett

Counselor · Staten Island, NY

NPI number 1053833467 Active

Practice location

19 Vedder Ave
Staten Island, NY 10314-1509

Mailing address

219 Hamilton Ave Apt 3E
Staten Island, NY 10301-1638

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1053833467

Isaiah Bennett's National Provider Identifier is 1053833467, issued on Jul 7, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 7, 2017.