Individual
KAITLYN BENERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
6363 FRANCE AVE S STE 200, EDINA, MN 55435-2140
(952) 230-9100
Mailing address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(763) 762-8800
(763) 315-4669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2906
MN
Other
Enumeration date
07/13/2021
Last updated
08/24/2021
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