Individual provider · Type 1 NPI
Benjamin Bauer, MA
Mental Health Counselor · Otsego, MN
NPI number
1104459312
Active
Practice location
9245 Quantrelle Ave
Otsego, MN 55330
Mailing address
1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1104459312
Benjamin Bauer, MA's National Provider Identifier is 1104459312, issued on Feb 16, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Otsego, MN. The record was last updated on Feb 16, 2020.