Individual
MS. REBECCA A. BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1675 PHOENIX ROAD, SUITE 9, SOUTH HAVEN, MI 49090
(269) 639-2545
(269) 639-2137
Mailing address
72300 ERIKA WAY, #207, SOUTH HAVEN, MI 49090-7120
(616) 886-9217
(269) 639-2137
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010526
MI
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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