Individual provider · Type 1 NPI

Amanda Lynn Bolotta

Peer Specialist · Richmond, MI

NPI number 1609417146 Active

Practice location

400 Stoddard Rd
Richmond, MI 48062-2505

Call (810) 392-2167 Map

Mailing address

1614 Mcpherson St
Port Huron, MI 48060-3239

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 1609417146

Amanda Lynn Bolotta's National Provider Identifier is 1609417146, issued on Oct 7, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Richmond, MI. The record was last updated on Nov 27, 2023.