Individual
THERESA BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LPC
Contact information
Practice address
5407 EXCELSIOR BLVD STE B, ST LOUIS PARK, MN 55416-2932
(952) 922-9332
Mailing address
5407 EXCELSIOR BLVD STE B, ST LOUIS PARK, MN 55416-2932
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
00132
MN
106H00000X
Marriage & Family Therapist
Primary
1373
MN
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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