Individual
BENJAMIN POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4500 PARK GLEN RD, SUITE 155, ST LOUIS PARK, MN 55416-4871
(612) 223-7992
Mailing address
4500 PARK GLEN RD, SUITE 155, ST LOUIS PARK, MN 55416-4871
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
01623
MN
Other
Enumeration date
11/10/2014
Last updated
11/17/2014
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