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Individual

BENJAMIN LUCAS SANTEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LPC

Contact information

Practice address
2401 CAMELOT CT SE STE E, GRAND RAPIDS, MI 49546-6083
(616) 648-2289
(616) 279-3723
Mailing address
2401 CAMELOT CT SE STE E, GRAND RAPIDS, MI 49546-6083
(616) 949-7460
(616) 949-3018

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017027
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6401017027
PROFESSIONAL COUNSELOR LICENSE
MI
Enumeration date
08/12/2014
Last updated
05/23/2024
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