Individual
MS. JESSICA A BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
888 W BIG BEAVER RD STE 780, TROY, MI 48084-4745
(248) 978-3589
Mailing address
888 W BIG BEAVER RD STE 780, TROY, MI 48084-4745
(248) 978-3589
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401013443
MI
101YP2500X
Professional Counselor
Primary
6401013443
MI
Other
Enumeration date
01/23/2013
Last updated
07/24/2020
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