Individual provider · Type 1 NPI
Tracy W. Bennett, LCPC
Mental Health Counselor · Portland, ME
NPI number
1487869210
Active
Practice location
55 Bell St
Portland, ME 04103-3418
Fax (207) 514-8333
Mailing address
1590 Milton Mills Rd
Acton, ME 04001-5008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | CC1576 (ME) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1487869210
Tracy W. Bennett, LCPC's National Provider Identifier is 1487869210, issued on May 14, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, ME. The record was last updated on Jul 9, 2021.