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Contact Information

BENEDICT A WALZ, MS MDV MAC LADC LMFT
3333 W DIVISION ST
MIDTOWN SQUARE SUITE # 210
SAINT CLOUD, MN56301-4515
 Phone: 320-252-5781
 Fax: 320-252-5001
 Website:
Indicates primary specialty

NPI Profile & details for

NPI # 1043376635
Entity Organization
Organization subpart 1 Not specified
Enumeration date 12/28/2006
Last updated 03/17/2010 - About 16 years ago
Identifiers
License # #302151
License # 1763
License # 1763 & 302151
MN License # #1763 LMFT
MN License # 302151
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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