Individual provider · Type 1 NPI

Benjamin Kackley

Mental Health Counselor · Detroit, MI

NPI number 1013339225 Active

Practice location

24424 W Mcnichols Rd
Detroit, MI 48219-3653

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401013356 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1013339225

Benjamin Kackley's National Provider Identifier is 1013339225, issued on Jan 8, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Detroit, MI. The record was last updated on Jan 8, 2014.