Doctor Name: | BENJAMIN GARY STRAUEL |
NPI Number: | 1225231632 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, LPC |
License Number: | 6401007163 |
Business Practice Address: | 1332 Prospect Ave Caro, MI - 487239288 |
Business Phone Number: | 9896736191 |
Business Fax Number: | 9896723053 |
Mailing Address: | 323 N State St, Po Box 239 CARO |
State: | MI |
Postal Code: | 487231537 |
Phone Number: | 9896736191 |
Fax Number: | 9896731596 |
NPI Enumeration Date: | 06/06/2007 |
NPI Last Update Date: | 11/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401007163 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |