Individual provider · Type 1 NPI

Kevin Shannon

Peer Specialist · Southgate, MI

NPI number 1013698422 Active

Practice location

13101 Allen Rd
Southgate, MI 48195-2216

Call (734) 785-7700 Map

Fax (734) 287-1953

Mailing address

2956 Saint Paul St
Trenton, MI 48183-3603

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1013698422

Kevin Shannon's National Provider Identifier is 1013698422, issued on Jul 27, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Southgate, MI. The record was last updated on Jul 27, 2023.