Individual
BENJAMIN BEVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LAMFT
Contact information
Practice address
566 BAVARIA LN, CHASKA, MN 55318-4597
(952) 448-3625
(952) 448-3625
Mailing address
PO BOX 71, CHASKA, MN 55318-0071
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1860
MN
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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