Individual
BENJAMIN REISTERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3215 EAGLE CREST DR NE STE 100, GRAND RAPIDS, MI 49525-7005
(616) 209-8745
Mailing address
3215 EAGLE CREST DR NE STE 100, GRAND RAPIDS, MI 49525-7005
(616) 209-8745
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014274
MI
Other
Enumeration date
07/29/2014
Last updated
04/23/2026
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