Dieffenbach, Benjamin

Dieffenbach, Benjamin is an individual health care provider with primary practice located at 2368 Joy Ave , White Bear Lake MN 55110-7409. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dieffenbach, Benjamin can be contacted via phone (651) 338-9435.

Contact Information

Primary practice address
2368 Joy Ave White Bear Lake MN 55110-7409
Phone: (651) 338-9435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 22483 Minnesota

Profile Details

NPI number 1467809624
LBN Legal business name Dieffenbach, Benjamin
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2016
Last updated Mar 4th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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