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Deundra Denise Fuller, CPSS
Peer Specialist in Waterford, Michigan
NPI 1023641388

Deundra Denise Fuller is a Peer Specialist based in Waterford, MI. Deundra Denise Fuller practices in Waterford, MI and has the professional credentials of CPSS. The NPI Number for Deundra Denise Fuller is 1023641388 and holds a License No. (Michigan).

The current practice location address for Deundra Denise Fuller is 279 Summit Dr, Waterford, MI and can be reached out via phone at 248-409-4139.

Location: 279 Summit Dr, Waterford, MI, 48328-3364
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023641388
Provider Name
Deundra Denise Fuller
Credential
CPSS
Provider Entity Type
Individual
Gender
Female
Address
279 Summit Dr, Waterford, MI, 48328-3364
Phone Number
248-409-4139
Fax Number
Provider Enumeration Date
02/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
175T00000X 05 MI
institution
Provider Business Practice Location Address Details
Address
279 Summit Dr
City
Waterford
State
Michigan
Zip
48328-3364
Phone Number
248-409-4139
Fax Number
person
Provider Business Mailing Address Details
Address
279 Summit Dr
City
Waterford
State
Michigan
Zip
48328-3364
Phone Number
248-409-4139
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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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