Individual
PAUL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLC
Contact information
Practice address
906 E BELLOWS ST # 910, MT PLEASANT, MI 48858-3940
(231) 535-2822
Mailing address
2329 CENTER ST, BOYNE FALLS, MI 49713-9268
(231) 535-2822
(231) 535-2372
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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