Individual
BENJAMIN JOEL ERNSBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2236 E MITCHELL RD # 5, PETOSKEY, MI 49770-9604
(231) 939-1045
Mailing address
723 HIGH ST APT 1, MARQUETTE, MI 49855-3719
(231) 939-1045
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6451022702
MI
101YP2500X
Professional Counselor
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
HEALTHCARE
MI
Enumeration date
01/18/2023
Last updated
01/25/2024
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