Individual provider · Type 1 NPI

David Douglass, CPRM-DP

Peer Specialist · Detroit, MI

NPI number 1851112403 Active

Practice location

2081 W Grand Blvd
Detroit, MI 48208-1105

Call (313) 895-0500 Map

Fax (313) 895-0503

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 1851112403

David Douglass, CPRM-DP's National Provider Identifier is 1851112403, issued on Oct 17, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Detroit, MI. The record was last updated on Oct 31, 2024.