Individual
LORRAINE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLLP, LPC
Contact information
Practice address
2180 44TH ST SE STE 301, GRAND RAPIDS, MI 49508-5093
(616) 259-5112
(616) 971-6157
Mailing address
6054 IN THE PINES DR SE, GRAND RAPIDS, MI 49548-8503
(616) 432-0787
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401020248
MI
Other
Enumeration date
07/11/2019
Last updated
01/25/2022
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