Individual provider · Type 1 NPI

Benedict A. Walz, MS MDV MAC LADC LMFT

Community/Behavioral Health Agency · St. Cloud, MN

NPI number 1043376635 Active

Practice location

3333 W Division St, Midtown Square Suite # 210
St. Cloud, MN 56301-4515

Fax (320) 252-5001

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X302151 (MN)
Mental Health Counselor 101YM0800XNone listed
Pastoral Counselor 101YP1600XNone listed
Professional Counselor 101YP2500X#1763 LMFT (MN)
Addiction (Substance Use Disorder) Counselor 101YA0400X#302151
Pastoral Counselor 101YP1600XNone listed
Professional Counselor 101YP2500XNone listed
Community/Behavioral Health Agency 251S00000X1763
Community/Behavioral Health Agency Primary 251S00000X1763 & 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.