Elijah Bennett is a Peer Specialist based in Port Huron, MI. Elijah Bennett practices in Port Huron, MI. The NPI Number for Elijah Bennett is 1881468643 and holds a License No. (Michigan).
The current practice location address for Elijah Bennett is 617 10Th St, Port Huron, MI and can be reached out via phone at 810-858-1931.
Location: 617 10Th St, Port Huron, MI, 48060-4406
Provider Profile Details
NPI Number
1881468643
Provider Name
Elijah Bennett
Credential
Provider Entity Type
Individual
Gender
Male
Address
617 10Th St, Port Huron, MI, 48060-4406
Phone Number
810-858-1931
Fax Number
Provider Enumeration Date
11/13/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
617 10Th St
City
State
Zip
48060-4406
Phone Number
810-858-1931
Fax Number
Provider Business Mailing Address Details
Address
617 10Th St
City
State
Zip
48060-4406
Phone Number
810-858-1931
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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