Provider Demographics
NPI:1710208616
Name:BENOIT, VANESSA ANNE
Entity Type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:ANNE
Last Name:BENOIT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 WILDFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-1719
Mailing Address - Country:US
Mailing Address - Phone:508-977-4041
Mailing Address - Fax:508-824-0111
Practice Address - Street 1:1 WASHINGTON ST
Practice Address - Street 2:COMMUNITY COUNSELING OF BRISTOL COUNTY
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-3960
Practice Address - Country:US
Practice Address - Phone:508-977-4041
Practice Address - Fax:508-824-0111
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-15
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker