Individual
VANESSA BENAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
57239 N MAIN ST STE 1, THREE RIVERS, MI 49093-9419
(269) 273-0300
Mailing address
2509 OMEGA DR NE, GRAND RAPIDS, MI 49525-6710
(906) 235-7248
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4151000706
MI
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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