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Elijah Bennett
Peer Specialist in Port Huron, Michigan
NPI 1881468643

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. You can also correspond with Elijah Bennett through the mailing address at 617 10TH ST, PORT HURON, MI - 48060-4406 (mailing address contact number: ).

Location: 617 10Th St, Port Huron, MI, 48060-4406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
institution
Provider Business Practice Location Address Details
Address
617 10Th St
City
Port Huron
State
Michigan
Zip
48060-4406
Phone Number
810-858-1931
Fax Number
person
Provider Business Mailing Address Details
Address
617 10Th St
City
Port Huron
State
Michigan
Zip
48060-4406
Phone Number
810-858-1931
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
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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