Individual provider · Type 1 NPI

Kaylen Bourdage

Peer Specialist · Southgate, MI

NPI number 1811732001 Active

Practice location

13101 Allen Rd
Southgate, MI 48195-2216

Call (734) 785-7700 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 1811732001

Kaylen Bourdage's National Provider Identifier is 1811732001, issued on Jun 28, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Southgate, MI. The record was last updated on Jun 28, 2024.