IndividualActive
Bradley Bengtson
NPI 1417255753 · Counseling Psychologist · Lino Lakes, MN
Provider details
- NPI number
- 1417255753
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- LP4712 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
33 Village Pkwy
Suite 109
Lino Lakes, MN 55014-4409
Phone: (612) 644-2502
Approximate (ZIP-level) locationGet directions
Mailing address
33 Village Pkwy
Lino Lakes, MN 55014-4409
Registry dates
- Enumerated
- 2011-03-10
- Last updated
- 2011-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.