Individual
MR. TODD A BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
174 CONCORD ST, SUITE 250, PETERBOROUGH, NH 03458-1238
(603) 723-2049
Mailing address
174 CONCORD ST, SUITE 250, PETERBOROUGH, NH 03458-1238
(603) 723-2049
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701004693
VA
101YM0800X
Mental Health Counselor
0701004693
VA
101YP2500X
Professional Counselor
Primary
0701004693
VA
Other
Enumeration date
11/24/2009
Last updated
06/05/2013
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