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Organization

DIEFFENBACH COUNSELING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BENJAMIN PAUL DIEFFENBACH LICSW (CHIEF MANAGER)
(651) 338-9435
Entity
Organization

Contact information

Practice address
2368 JOY AVE # NA, WHITE BEAR LAKE, MN 55110-7409
(651) 338-9435
Mailing address
2368 JOY AVE # NA, WHITE BEAR LAKE, MN 55110-7409
(651) 338-9435

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0850X
Adult Mental Health Clinic/Center

Other

Enumeration date
09/11/2023
Last updated
11/13/2024
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