Provider Demographics
NPI:1073887022
Name:BENZ ROSSAN, ALLISON PATRICIA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:PATRICIA
Last Name:BENZ ROSSAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 S MAIN ST
Mailing Address - Street 2:#1
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-2212
Mailing Address - Country:US
Mailing Address - Phone:717-263-7758
Mailing Address - Fax:
Practice Address - Street 1:1600 HUMBOLDT RD STE 3
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-8100
Practice Address - Country:US
Practice Address - Phone:530-514-1333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-07
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA119226106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist