Bren Shantz
Professional Counselor Counseling Psychologist
4890 11 Mile Rd Ne
Rockford
, Michigan 49341-8477
Bren Shantz
Professional Counselor Counseling Psychologist
4890 11 Mile Rd Ne
Rockford
, Michigan 49341-8477
(616) 439-1866
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About
Features
Specialties
- Professional Counselor
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Bren Shantz
- 3201 Burton St Se
- Grand Rapids, MI
- Zip : 49546-4301
- Phone : (616) 439-1866
Second Address
- Bren Shantz
- 4890 11 Mile Rd Ne
- Rockford, MI
- Zip : 49341-8477
- Phone : (616) 439-1866
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | 6401014444 | MI |
| N | 103TC1900X | Counseling Psychologist | 6301016034 | MI |
National Provider Identifier
| NPI | 1003283169 |
|---|---|
| Provider Name | Bren Shantz |
| First Address | Grand Rapids, MI 49546-4301 |
| Second Address | Rockford, MI 49341-8477 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2015 |
| Last Update Date | 03/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.