Individual
BEN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LADC
Contact information
Practice address
2104 STEVENS AVE, MINNEAPOLIS, MN 55404-2533
(612) 238-1070
Mailing address
2104 STEVENS AVE, MINNEAPOLIS, MN 55404-2533
(612) 238-1070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303154
MN
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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