MEDICARE: MR. TIMOTHY R FARNER M.ED, LPC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC006016	PA

General Provider Information

NPI Number	:	1295016194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TIMOTHY R FARNER M.ED, LPC, NCC

Provider Business Mailing Address
First Line	:	100 WINDING CREEK BLVD STE 3
Second Line	:
City	:	MECHANICSBURG
State	:	PA
Zip	:	17050-1883
Country	:	US
Telephone Number	:	717-590-7283
Fax Number	:	717-590-7297

Provider Business Practice Location Address
First Line	:	100 WINDING CREEK BLVD STE 3
Second Line	:
City	:	MECHANICSBURG
State	:	PA
Zip	:	17050-1883
Country	:	US
Telephone Number	:	717-590-7283
Fax Number	:	717-590-7297

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2011
Last Update Date	:	07/21/2022

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