Individual provider · Type 1 NPI

Shane Liedeke

Peer Specialist · Cassopolis, MI

NPI number 1033971577 Active

Practice location

1124 Austin
Cassopolis, MI 49031-8310

Call (269) 228-5188 Map

Mailing address

960 M 60 E
Cassopolis, MI 49031-9339

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 1033971577

Shane Liedeke's National Provider Identifier is 1033971577, issued on Jan 30, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Cassopolis, MI. The record was last updated on Jan 30, 2024.