Individual provider · Type 1 NPI

Nick Vandiver

Peer Specialist · Detroit, MI

NPI number 1124851654 Active

Practice location

6821 Medbury St
Detroit, MI 48211-3317

Fax (866) 287-5710

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 1124851654

Nick Vandiver's National Provider Identifier is 1124851654, issued on Aug 21, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Detroit, MI. The record was last updated on Aug 21, 2024.