Healthcare Provider Details

I. General information

NPI: 1013837996
Provider Name (Legal Business Name): ALEXANDRA BENSON-TUFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1131 WESTRAC DR S STE 100
FARGO ND
58103-2374
US

IV. Provider business mailing address

1131 WESTRAC DR S STE 100
FARGO ND
58103-2374
US

V. Phone/Fax

Practice location:
  • Phone: 701-232-0760
  • Fax:
Mailing address:
  • Phone: 701-232-0760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1569-7-15-26A
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: