person
Jerrry Indra, PRC
Peer Specialist in Flint, Michigan
NPI 1003512955

Jerrry Indra is a Peer Specialist based in Flint, MI. Jerrry Indra practices in Flint, MI and has the professional credentials of PRC. The NPI Number for Jerrry Indra is 1003512955 and holds a License No. (Michigan).

The current practice location address for Jerrry Indra is 765 E Hamilton Ave, Flint, MI and can be reached out via phone at 810-233-5340.

Location: 765 E Hamilton Ave, Flint, MI, 48505-4707
person
Provider Profile Details
NPI Number
1003512955
Provider Name
Jerrry Indra
Credential
PRC
Provider Entity Type
Individual
Gender
Male
Address
765 E Hamilton Ave, Flint, MI, 48505-4707
Phone Number
810-233-5340
Fax Number
Provider Enumeration Date
02/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
765 E Hamilton Ave
City
State
Zip
48505-4707
Phone Number
810-233-5340
Fax Number
person
Provider Business Mailing Address Details
Address
765 E Hamilton Ave
City
State
Zip
48505-4707
Phone Number
810-233-5340
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(Michigan)
Definition
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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