Individual provider · Type 1 NPI

Paul Bock

Peer Specialist · Traverse City, MI

NPI number 1093532202 Active

Practice location

4230 Copper Ridge Dr Bldg E
Traverse City, MI 49684-7256

Mailing address

3083 Osprey Dr
Interlochen, MI 49643-9383

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 1093532202

Paul Bock's National Provider Identifier is 1093532202, issued on Sep 20, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Traverse City, MI. The record was last updated on Sep 20, 2024.