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Shawna Bennett, LLPC, LLMFT

Counselor, Professional in Grand Rapids, MI. Individual provider (NPI-1).

NPI number1699337477
StatusActive
Last updated in NPPESJul 2, 2019

Details

NPI
1699337477
Entity type
Individual (NPI-1)
Name
Shawna Bennett
Credential
LLPC, LLMFT
Sex
Female
Sole proprietor
No
Enumeration date
Jul 2, 2019
Last updated
Jul 2, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional6401016499MIYes
106H00000X Marriage & Family Therapist4101006809MI

Practice location

1345 Monroe Ave Nw
Grand Rapids, MI 49505-4671

Phone 616-258-6473

Mailing address

1345 Monroe Ave Nw
Grand Rapids, MI 49505-4671

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