Individual
BENITA AMEDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
451 LEXINGTON PKWY N, SAINT PAUL, MN 55104-4636
(651) 280-2310
(651) 280-3995
Mailing address
451 LEXINGTON PKWY N, SAINT PAUL, MN 55104-4636
(651) 280-2310
(651) 280-3995
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00847
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC00847
MN BOARD OF BEHAVIOR HEALTH AND THERAPY
MN
Enumeration date
09/25/2014
Last updated
09/25/2014
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