Individual provider · Type 1 NPI

Renardo Anzell Bowles Sr., CPRC, CPSS

Peer Specialist · Detroit, MI

NPI number 1477200053 Active

Practice location

1121 E Mcnichols Rd
Detroit, MI 48203-2857

Call (313) 365-3100 Map

Fax (313) 365-3101

Mailing address

5701 Saint Clair St
Detroit, MI 48213-3348

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 1477200053

Renardo Anzell Bowles Sr., CPRC, CPSS's National Provider Identifier is 1477200053, issued on Mar 3, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Detroit, MI. The record was last updated on Mar 3, 2022.