Elijah Bennett
Peer Specialist in Port Huron, MI. Individual provider (NPI-1).
NPI number1881468643
StatusActive
Last updated in NPPESNov 13, 2023
Details
- NPI
- 1881468643
- Entity type
- Individual (NPI-1)
- Name
- Elijah Bennett
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2023
- Certification date
- Nov 13, 2023
- Last updated
- Nov 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
617 10th StPort Huron, MI 48060-4406
Phone 810-858-1931
Mailing address
617 10th StPort Huron, MI 48060-4406
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All 67 Peer Specialist providers in Port Huron · All 1,977 providers in Port Huron
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