Individual
EUGENE JOSEPH BENIEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA MDIV LICSW LMFT
Contact information
Practice address
32104 STEARNS COUNTY ROAD 1, ST CLOUD, MN 56303
(320) 267-0531
(320) 393-2960
Mailing address
32104 STEARNS COUNTY ROAD 1, ST CLOUD, MN 56303
(320) 267-0531
(320) 393-2960
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6636
MN
1041C0700X
Clinical Social Worker
Primary
6636
MN
106H00000X
Marriage & Family Therapist
0039
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110584C851
UCARE BHP
—
01
—
16934
UBH OPTUM
—
01
—
3H565BE
BCBS
—
01
—
4G307BE
BCBS
MN
05
—
500857300
—
MN
01
—
6212386
MEDICA
—
01
—
922241022554
PREFERRED ONE
—
01
—
HP25383
HEALTH PARTNERS
—
Enumeration date
06/23/2006
Last updated
10/06/2023
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