Individual
MR. BENJAMIN JAMES BALKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
625 KENMOOR AVE SE STE 350 PMB 979359, GRAND RAPIDS, MI 49546-2395
(616) 209-4054
Mailing address
625 KENMOOR AVE SE STE 350 PMB 979359, GRAND RAPIDS, MI 49546-2395
(616) 209-4054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401222272
MI
101YP2500X
Professional Counselor
6401017634
MI
Other
Enumeration date
09/04/2019
Last updated
06/26/2023
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