Individual
MRS. DEMETRIA L BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
516 S. CREYTS RD, SUITE F, LANSING, MI 48917-8268
(517) 323-1767
Mailing address
516 S CREYTS RD, LANSING, MI 48917-8268
(517) 323-1767
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
4101006641
MI
Other
Enumeration date
08/06/2012
Last updated
07/15/2015
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