Individual provider · Type 1 NPI
Benjamin Bryan Holdredge
Professional Counselor · Grand Rapids, MI
NPI number
1457996845
Active
Practice location
2040 Raybrook St SE Ste 103
Grand Rapids, MI 49546-7718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401017829 (MI) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1457996845
Benjamin Bryan Holdredge's National Provider Identifier is 1457996845, issued on Nov 9, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 9, 2019.