Individual
DILUCKSHI BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 CASS AVE STE 205, MOUNT CLEMENS, MI 48043-8803
(586) 212-8218
(586) 408-6485
Mailing address
117 CASS AVE STE 205, MOUNT CLEMENS, MI 48043-8803
(586) 212-8218
(586) 408-6485
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014892
MI
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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