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Benjamin Bader, LMFT

Marriage & Family Therapist in Maple Grove, MN. Individual provider (NPI-1).

NPI number1093138331
StatusActive
Last updated in NPPESMar 1, 2018

Details

NPI
1093138331
Entity type
Individual (NPI-1)
Name
Benjamin Bader
Credential
LMFT
Sex
Male
Sole proprietor
No
Enumeration date
Jan 22, 2014
Last updated
Mar 1, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist2711MNYes

Practice location

12915 63rd Ave. N.
Maple Grove, MN 55369

Phone 952-826-8412 · Fax 763-383-5802

Mailing address

12915 63rd Ave. N.
Maple Grove, MN 55369

Phone 952-826-8412 · Fax 763-383-5802

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