Individual provider · Type 1 NPI
Benedict A. Walz, MS MDV MAC LADC LMFT
Community/Behavioral Health Agency · St. Cloud, MN
Practice location
3333 W Division St, Midtown Square Suite # 210
St. Cloud, MN 56301-4515
Fax (320) 252-5001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 302151 (MN) |
| Mental Health Counselor | 101YM0800X | None listed |
| Pastoral Counselor | 101YP1600X | None listed |
| Professional Counselor | 101YP2500X | #1763 LMFT (MN) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | #302151 |
| Pastoral Counselor | 101YP1600X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Community/Behavioral Health Agency | 251S00000X | 1763 |
| Community/Behavioral Health Agency Primary | 251S00000X | 1763 & 302151 |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
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About NPI 1043376635
Benedict A. Walz, MS MDV MAC LADC LMFT's National Provider Identifier is 1043376635, issued on Dec 28, 2006. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in St. Cloud, MN. The record was last updated on Mar 17, 2010.