Individual provider · Type 1 NPI

Kenneth McCoy

Peer Specialist · Detroit, MI

NPI number 1487262580 Active

Practice location

1121 E Mcnichols Rd
Detroit, MI 48203-2857

Call (313) 365-3106 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 1487262580

Kenneth McCoy's National Provider Identifier is 1487262580, issued on Jul 15, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Detroit, MI. The record was last updated on Jul 15, 2020.