Organization
JOHN M. BENDA PSYCHOTHERAPY SERVICES, INC.
Active
Organization
JOHN M. BENDA PSYCHOTHERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M. BENDA LICSW (CLINICAL SOCIAL WORKER)
(612) 929-0781
Entity
Organization
Contact information
Practice address
4005 W 65TH ST, #216, EDINA, MN 55435-1720
(612) 929-0781
(952) 285-6780
Mailing address
2911 W 40TH ST, MINNEAPOLIS, MN 55410-1111
(612) 929-0781
(952) 285-6780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13217
MN
Other
Enumeration date
10/13/2008
Last updated
11/06/2008
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