| Shannon Gabrielle Bennett, ADT | |
|
14701 National Hwy Sw Ste 5&6, Lavale, MD 21502-6573 | |
| (866) 922-1856 | |
| Not Available |
| Full Name | Shannon Gabrielle Bennett |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 14701 National Hwy Sw Ste 5&6, Lavale, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104679745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3502 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Gabrielle Bennett, ADT 14701 National Hwy Sw Ste 5&6, Lavale, MD 21502-6573 Ph: (866) 922-1856 | Shannon Gabrielle Bennett, ADT 14701 National Hwy Sw Ste 5&6, Lavale, MD 21502-6573 Ph: (866) 922-1856 |
Mary Elizabeth Henderson, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 14701 National Hwy Sw Ste 5&6, Lavale, MD 21502 Phone: 301-687-0940 Fax: 301-687-0948 | |
Danielle Nadine Sheally, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14701 National Hwy Sw Ste 5&6, Lavale, MD 21502 Phone: 301-687-0940 Fax: 301-687-0948 | |
Ms. Joy S Flenner, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 14701 National Hwy Sw, Lavale, MD 21502 Phone: 301-687-0940 | |
Mrs. Nicol Lynn Lyon, M.S., CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 14701 National Hwy Sw, Suites 5 & 6, Lavale, MD 21502 Phone: 301-687-0940 Fax: 301-687-0948 | |
Suzanne Brandenburg, L.C.A.D.C, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1214 Lavale Ave, Lavale, MD 21502 Phone: 301-697-7236 | |
Larry Bowling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14701 National Hwy Sw, Lavale, MD 21502 Phone: 301-687-0940 Fax: 301-687-0948 |