Individual
MR. TIMOTHY FRANCIS BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. LPC/CAC
Contact information
Practice address
825 FISHBURN RD, HERSHEY, PA 17033-2015
(717) 533-7404
(717) 520-1295
Mailing address
825 FISHBURN RD, HERSHEY, PA 17033-2015
(717) 533-7404
(717) 520-1295
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
227064
PA
101YP2500X
Professional Counselor
PC001611
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50000176
CAPITAL BLUE CROSS
PA
01
—
A257595
VALUE OPTIONS
PA
Enumeration date
07/12/2006
Last updated
09/11/2025
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