Benjamin Antonio Tate, LPC, CAADC-DP

NPI #1194281337 in Redford, Michigan

Provider Information

NPI Number: 1194281337
Entity Type: Individual
Name: Benjamin Antonio Tate, LPC, CAADC-DP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPC, CAADC-DP
Enumeration Date: Feb 12, 2019
Last Updated: Feb 23, 2023

Practice Location

Address: 9315 TELEGRAPH RD
City: Redford
State: Michigan
ZIP Code: 48239-1260
Phone: (313) 450-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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