Individual provider · Type 1 NPI

Leatha Bennett

Mental Health Counselor · Braintree, MA

NPI number 1447743414 Active

Practice location

400 Washington St
Braintree, MA 02184-4729

Mailing address

408 Norfolk St
Dorchester Center, MA 02124-4009

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1447743414

Leatha Bennett's National Provider Identifier is 1447743414, issued on Jun 13, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Braintree, MA. The record was last updated on Jun 13, 2018.