Individual provider · Type 1 NPI

Autumn Bough

Peer Specialist · Adrian, MI

NPI number 1679347942 Active

Practice location

1040 S Winter St Ste 1022
Adrian, MI 49221-3876

Call (517) 263-8905 Map

Mailing address

2985 Gady Rd Lot 40
Adrian, MI 49221-9361

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 1679347942

Autumn Bough's National Provider Identifier is 1679347942, issued on Nov 8, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Adrian, MI. The record was last updated on Nov 8, 2023.