Individual
BENJAMIN JOHN FRAUNDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2321 STOUT RD, MENOMONIE, WI 54751-7003
(715) 235-9671
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
7098
WI
101YP2500X
Professional Counselor
7098
WI
Other
Enumeration date
04/11/2016
Last updated
12/15/2023
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