Provider Demographics
NPI:1912148545
Name:BEHNKE, TAMI J (MS LPCC)
Entity Type:Individual
Prefix:
First Name:TAMI
Middle Name:J
Last Name:BEHNKE
Suffix:
Gender:F
Credentials:MS LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 6TH ST N
Mailing Address - Street 2:
Mailing Address - City:NEW ULM
Mailing Address - State:MN
Mailing Address - Zip Code:56073-2071
Mailing Address - Country:US
Mailing Address - Phone:866-670-5163
Mailing Address - Fax:507-354-0268
Practice Address - Street 1:1418 STATE STREET
Practice Address - Street 2:CAMPUS RELIGIOUS CENTER
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258
Practice Address - Country:US
Practice Address - Phone:866-670-5163
Practice Address - Fax:507-354-3667
Is Sole Proprietor?:No
Enumeration Date:2009-03-11
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC00374101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional