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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENEDICT A WALZ, MS MDV MAC LADC LMFT

Active Sole Proprietor

BENEDICT A WALZ, MS MDV MAC LADC LMFT is a Community/Behavioral Health healthcare provider located in SAINT CLOUD, Minnesota. NPI 1043376635 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · SAINT CLOUD, MN

Registration Details

NPI Number
1043376635
Provider Type
Individual
Gender
Male
NPI Issued
Dec 28, 2006 (19.645653945882 yrs)
Last Updated
Mar 17, 2010
Licenses
302151 (MN)
#1763 LMFT (MN)
#302151
Sole Proprietor
Yes

Practice Information

Address
3333 W DIVISION ST
MIDTOWN SQUARE SUITE # 210
SAINT CLOUD, MN, 563014515
Browse MN providers · Browse ZIP 56301
Phone
3202525781
Fax
3202525001
Primary Specialty
Community/Behavioral Health
251S00000X
Additional Specialty
Mental Health Counselor
Additional Specialty
Pastoral Counselor
Additional Specialty
Professional Counselor

Other Community/Behavioral Health Providers in SAINT CLOUD, MN

Name Credential NPI
AMRAN YUSUF K-12 PRINCIPAL 1699563312
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.