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Benjamin Kackley
Mental Health Counselor in Detroit, Michigan
NPI 1013339225

Benjamin Kackley is a Mental Health Counselor based in Detroit, MI and is specialized in Mental Health. Benjamin Kackley practices in Detroit, MI. The NPI Number for Benjamin Kackley is 1013339225 and holds a License No. 6401013356 (Michigan).

The current practice location address for Benjamin Kackley is 24424 W Mcnichols Rd, Detroit, MI and can be reached out via phone at 313-255-0900.

Location: 24424 W Mcnichols Rd, Detroit, MI, 48219-3653
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013339225
Provider Name
Benjamin Kackley
Credential
Provider Entity Type
Individual
Gender
Male
Address
24424 W Mcnichols Rd, Detroit, MI, 48219-3653
Phone Number
313-255-0900
Fax Number
Provider Enumeration Date
01/08/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
24424 W Mcnichols Rd
City
Detroit
State
Michigan
Zip
48219-3653
Phone Number
313-255-0900
Fax Number
person
Provider Business Mailing Address Details
Address
24424 W Mcnichols Rd
City
Detroit
State
Michigan
Zip
48219-3653
Phone Number
313-255-0900
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6401013356 (Michigan)
Definition
Definition to come...
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