Individual provider · Type 1 NPI

Krystal Athena Hubbard

Peer Specialist · Detroit, MI

NPI number 1336783885 Active

Practice location

1121 E Mcnichols Rd
Detroit, MI 48203-2857

Call (313) 365-3100 Map

Fax (313) 365-3101

Mailing address

19300 Wisconsin St
Detroit, MI 48221-1531

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 1336783885

Krystal Athena Hubbard's National Provider Identifier is 1336783885, issued on Oct 28, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Detroit, MI. The record was last updated on Nov 27, 2023.