Individual
MRS. JENNA LYNN RODRIGUEZ BENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 WEIR DR STE 270, WOODBURY, MN 55125-6741
(651) 714-9646
Mailing address
1811 WEIR DR STE 270, WOODBURY, MN 55125-6741
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/08/2021
Last updated
09/12/2023
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