Individual
VINEESHA RATHNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1022 E MAIN ST, BENTON HARBOR, MI 49022-3036
(269) 926-0015
(269) 926-0123
Mailing address
3349 PLEASANT ST, BERRIEN SPRINGS, MI 49103-9519
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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