Individual provider · Type 1 NPI

Nicole Diane Charles

Peer Specialist · Detroit, MI

NPI number 1154008100 Active

Practice location

6309 Mack Ave
Detroit, MI 48207-2302

Call (313) 331-3435 Map

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 1154008100

Nicole Diane Charles's National Provider Identifier is 1154008100, issued on Jun 30, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Detroit, MI. The record was last updated on Jun 30, 2023.