Individual
MRS. EMILY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
540 E 1ST ST, WACONIA, MN 55387-1600
(952) 442-4437
(952) 442-3084
Mailing address
1550 E 78TH ST, RICHFIELD, MN 55423-4638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1406
MN
101YM0800X
Mental Health Counselor
Primary
178009225
IL
Other
Enumeration date
09/22/2014
Last updated
07/16/2019
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