Individual
MRS. PETRONELLAH THOKO BENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
7030 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-1370
(763) 438-5529
Mailing address
7030 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-1370
(763) 438-5529
(763) 292-5653
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CC1891
MN
101YM0800X
Mental Health Counselor
1891
MN
101YM0800X
Mental Health Counselor
CC1891
MN
101YP2500X
Professional Counselor
Primary
CC01891
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
BEHAVIORAL HEALTH
MN
05
—
674492400
—
MN
01
—
874647200
MEDICARE
MN
Enumeration date
08/20/2018
Last updated
09/06/2025
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