Individual provider · Type 1 NPI

Jeremy Garnet Macnicol

Peer Specialist · Richmond, MI

NPI number 1063258416 Active

Practice location

400 Stoddard Rd
Richmond, MI 48062-2505

Call (810) 392-2167 Map

Mailing address

8609 Rattle Run Rd
Columbus, MI 48063-1908

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 1063258416

Jeremy Garnet Macnicol's National Provider Identifier is 1063258416, issued on Jul 5, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Richmond, MI. The record was last updated on Jul 5, 2024.