SearchMinnesotaAddiction (Substance Use Disorder) Counselor

Penny Main-Bennett, LADC

NPI 1780710442 · on the registry since 2007 · sole proprietor

Practice

Address
16525 Highway 65 Ne
Ham Lake X, MN 55304
Phone
(763) 413-8838
Fax
(763) 413-8878

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Also registered as
Addiction (Substance Use Disorder) Counselor
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota