Individual provider · Type 1 NPI

Tanesha Bennett

Mental Health Counselor · Pasadena, CA

NPI number 1629802905 Active

Practice location

2550 E Foothill Blvd
Pasadena, CA 91107-3406

Mailing address

5331 S Macadam Ave Ste 287
Portland, OR 97239-3849

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1629802905

Tanesha Bennett's National Provider Identifier is 1629802905, issued on Aug 28, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pasadena, CA. The record was last updated on Mar 28, 2025.