Individual
BREN SHANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LLP
Contact information
Practice address
4890 11 MILE RD NE, ROCKFORD, MI 49341-8477
(616) 439-1866
Mailing address
3201 BURTON ST SE, GRAND RAPIDS, MI 49546-4301
(616) 439-1866
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014444
MI
103TC1900X
Counseling Psychologist
6301016034
MI
Other
Enumeration date
08/25/2015
Last updated
01/03/2019
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