Individual
SARAH BETH BENGTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC, LMFT
Contact information
Practice address
14 7TH AVE N, SAINT CLOUD, MN 56303-4753
(320) 309-0936
(320) 259-4048
Mailing address
PO BOX 7665, SAINT CLOUD, MN 56302-7665
(320) 309-0936
(320) 259-4048
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302150
MN
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922409648
—
MN
Enumeration date
01/15/2008
Last updated
11/10/2023
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