Individual provider · Type 1 NPI

Courtney Petersen

Peer Specialist · Grand Rapids, MI

NPI number 1295567865 Active

Practice location

330 Commerce
Grand Rapids, MI 49503

Call (616) 258-7599 Map

Mailing address

330 Commerce Ave. SW
Grand Rapids, MI 49503

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 1295567865

Courtney Petersen's National Provider Identifier is 1295567865, issued on Aug 14, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 14, 2024.