Individual provider · Type 1 NPI

Mellisa Lyn Quandt

Peer Specialist · Port Huron, MI

NPI number 1790316248 Active

Practice location

3111 Electric Ave
Port Huron, MI 48060-8127

Call (810) 966-3566 Map

Mailing address

1064 S 15th St
St. Clair, MI 48079-5202

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
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 1790316248

Mellisa Lyn Quandt's National Provider Identifier is 1790316248, issued on Feb 3, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Port Huron, MI. The record was last updated on Jul 18, 2024.