Individual provider · Type 1 NPI

Shannon Gabrielle Bennett, ADT

Addiction (Substance Use Disorder) Counselor · Lavale, MD

NPI number 1104679745 Active

Practice location

14701 National Hwy SW Ste 5&6
Lavale, MD 21502-6573

Call (866) 922-1856 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3502 (MD)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104679745

Shannon Gabrielle Bennett, ADT's National Provider Identifier is 1104679745, issued on Apr 11, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lavale, MD. The record was last updated on Apr 11, 2024.