Individual provider · Type 1 NPI
Zannie Roy Jackson Jr., PEER SUPPORT SPECIAL
Peer Specialist · Livonia, MI
NPI number
1568084861
Active
Practice location
36801 Ann Arbor Trl
Livonia, MI 48150-3422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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 1568084861
Zannie Roy Jackson Jr., PEER SUPPORT SPECIAL's National Provider Identifier is 1568084861, issued on May 11, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Livonia, MI. The record was last updated on May 11, 2020.