person
Kevin Shannon
Peer Specialist in Southgate, Michigan
NPI 1013698422

Kevin Shannon is a Peer Specialist based in Trenton, MI. Kevin Shannon practices in Southgate, MI. The NPI Number for Kevin Shannon is 1013698422 and holds a License No. (Michigan).

The current practice location address for Kevin Shannon is 13101 Allen Rd, Southgate, MI and can be reached out via phone at 734-785-7700 and via fax at 734-287-1953.

Location: 13101 Allen Rd, Southgate, MI, 48183-3603
person
Provider Profile Details
NPI Number
1013698422
Provider Name
Kevin Shannon
Credential
Provider Entity Type
Individual
Gender
Male
Address
13101 Allen Rd, Southgate, MI, 48183-3603
Phone Number
734-785-7700
Fax Number
734-287-1953
Provider Enumeration Date
07/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13101 Allen Rd
City
State
Zip
48195-2216
Phone Number
734-785-7700
Fax Number
734-287-1953
person
Provider Business Mailing Address Details
Address
13101 Allen Rd
City
State
Zip
48195-2216
Phone Number
734-785-7700
Fax Number
734-287-1953
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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