Individual
MRS. SHIRLEY R BENSON-ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LADC
Contact information
Practice address
2118 BLAISDELL AVE, MINNEAPOLIS, MN 55404-2415
(612) 235-6259
(612) 872-8855
Mailing address
2118 BLAISDELL AVE, MINNEAPOLIS, MN 55404-2415
(612) 235-6259
(612) 872-8855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305600
MN
101YP2500X
Professional Counselor
Primary
CC03443
MN
Other
Enumeration date
09/13/2020
Last updated
04/11/2024
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