Individual
CHARLINE BENGTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 2ND AVE NE STE 110, GLENWOOD, MN 56334-1226
(320) 428-0744
(320) 438-2829
Mailing address
105 2ND AVE NE STE 110, GLENWOOD, MN 56334-1226
(320) 428-0744
(320) 438-2928
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
11524
SD
106H00000X
Marriage & Family Therapist
Primary
3047
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487032926
—
MN
Enumeration date
05/18/2015
Last updated
04/19/2021
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