Individual provider · Type 1 NPI

Kenneth Fultz, CPRM

Peer Specialist · Detroit, MI

NPI number 1023574787 Active

Practice location

15941 Fairfield St
Detroit, MI 48238-4123

Call (313) 345-4310 Map

Fax (313) 345-4315

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 1023574787

Kenneth Fultz, CPRM's National Provider Identifier is 1023574787, issued on Feb 18, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Detroit, MI. The record was last updated on Feb 18, 2019.