Individual
KRISTEN BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1170 S STATE ST, EPHRATA, PA 17522-2601
(717) 859-8000
Mailing address
1170 HAMMON AVE # ADDRESS2, EPHRATA, PA 17522-2921
(717) 715-7890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/30/2020
Last updated
08/30/2020
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