Individual
MEGAN KC BENEDETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
823 MAPLE ST, BRAINERD, MN 56401-3770
(218) 330-5633
Mailing address
823 MAPLE ST, BRAINERD, MN 56401-3770
(218) 330-5633
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3002523
MN
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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