Individual provider · Type 1 NPI

Wayne White

Peer Specialist · Detroit, MI

NPI number 1962954982 Active

Practice location

10 Peterboro St
Detroit, MI 48201-2722

Mailing address

707 W Milwaukee St
Detroit, MI 48202-2943

Other practice locations

  • 707 W Milwaukee St, Detroit, MI 48202-2943 · (313) 344-9099

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000X43 (MI)
Community/Behavioral Health Agency 251S00000XNone 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 1962954982

Wayne White's National Provider Identifier is 1962954982, issued on Oct 25, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Detroit, MI. The record was last updated on Mar 25, 2024.