Individual
BENEDICT A WALZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS MDV MAC LADC LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
#302151
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
302151
MN
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
WI
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
#1763 LMFT
MN
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
1763
—
251S00000X
Community/Behavioral Health Agency
Primary
1763 & 302151
—
Other
Enumeration date
12/28/2006
Last updated
03/17/2010
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