Individual
BENJAMIN ANTONIO TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CAADC-DP
Contact information
Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
Mailing address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401020205
MI
Other
Enumeration date
02/12/2019
Last updated
02/23/2023
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