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Individual
STEPHEN DOUGLAS BENNETT
Active
Individual
STEPHEN DOUGLAS BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, BC-L
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PCO16746
PA
251S00000X
Community/Behavioral Health Agency
BH004783
PA
Other
Enumeration date
08/11/2020
Last updated
08/28/2025
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