Individual
MS. CONSTANCE LORAINE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,LPCC
Contact information
Practice address
4318 34TH AVE S, MINNEAPOLIS, MN 55406
(612) 554-9661
(612) 328-9555
Mailing address
4318 34TH AVE S, MINNEAPOLIS, MN 55406-3831
(612) 554-9661
(612) 645-5970
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00607
MN
Other
Enumeration date
08/02/2013
Last updated
09/07/2018
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