Individual provider · Type 1 NPI

Phillip Wayne Jewell

Peer Specialist · Highland Park, MI

NPI number 1922653286 Active

Practice location

16300 Woodward Ave
Highland Park, MI 48203-2882

Call (313) 365-7211 Map

Fax (313) 365-7211

Mailing address

21840 Harding St
Oak Park, MI 48237-2523

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.

3 other providers at this address

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About NPI 1922653286

Phillip Wayne Jewell's National Provider Identifier is 1922653286, issued on Aug 5, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Highland Park, MI. The record was last updated on Aug 5, 2019.