Individual provider · Type 1 NPI

Alicia Pennymon, CPRM

Peer Specialist · Detroit, MI

NPI number 1962055277 Active

Practice location

1121 E Mcnichols Rd
Detroit, MI 48203-2857

Call (313) 365-3141 Map

Fax (313) 365-3101

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 1962055277

Alicia Pennymon, CPRM's National Provider Identifier is 1962055277, issued on Jul 17, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Detroit, MI. The record was last updated on Jul 19, 2019.