Individual
DR. BENJAMIN KENNETH JUREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D, LP
Contact information
Practice address
4801 VETRANS DRIVE, ST. CLOUD, MN 56303
(320) 252-1670
Mailing address
4801 VETRANS DRIVE, ST. CLOUD, MN 56303
(320) 252-1670
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5215
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65Q84VE
VA MEDICAL CENTER
MN
Enumeration date
11/11/2008
Last updated
03/26/2010
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