| Doctor Name: | BENJAMIN ROY BOOKIE |
| NPI Number: | 1124491600 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | 6401015165 |
| Business Practice Address: | 524 W Main St Ionia, MI - 488461536 |
| Business Phone Number: | 6169029007 |
| Business Fax Number: | |
| Mailing Address: | 3087 Potters Rd, IONIA |
| State: | MI |
| Postal Code: | 488468514 |
| Phone Number: | 6169024677 |
| Fax Number: | |
| NPI Enumeration Date: | 11/05/2015 |
| NPI Last Update Date: | 11/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 6401015165 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |