Mr Benjamin Kline, MA LPCC | |
1575 Beam Ave, Maplewood, MN 55109-1126 | |
(612) 273-6440 | |
Not Available |
Full Name | Mr Benjamin Kline |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1575 Beam Ave, Maplewood, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114468238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2710 (Minnesota) | Primary |
Entity Name | Fairview Express Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Mailing Address | Practice Location Address |
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Mr Benjamin Kline, MA LPCC 1163 Matilda St, Saint Paul, MN 55117-4820 Ph: (651) 300-2436 | Mr Benjamin Kline, MA LPCC 1575 Beam Ave, Maplewood, MN 55109-1126 Ph: (612) 273-6440 |
Mr. Andrew A Johnson, BA BS MSW LICSW LADC Counselor Medicare: May Accept Medicare Assignments Practice Location: 981 Glendon St N, Maplewood, MN 55119 Phone: 612-354-9027 | |
Andrew S Rabe, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3090 Hazelwood St Apt 102, Maplewood, MN 55109 Phone: 612-250-5718 | |
Mark Charles Lightner, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 County Road D E # B, Maplewood, MN 55109 Phone: 651-748-5019 Fax: 651-773-7591 | |
Cynthia Burgess, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2103 County Road D E Ste B, Maplewood, MN 55109 Phone: 651-748-5019 | |
Stephen Brennan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 White Bear Ave N, Maplewood, MN 55109 Phone: 612-235-4620 | |
Kiley Christine Krocak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 County Road D E, Suite B, Maplewood, MN 55109 Phone: 651-748-5019 Fax: 651-773-7591 | |
Joel Lambrides, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2103 County Road D E Ste B, Maplewood, MN 55109 Phone: 651-748-5019 |