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Michael Dwayne Welch JR.
Peer Specialist in Grand Rapids, Michigan
NPI 1023716925

Michael Dwayne Welch JR. is a Peer Specialist based in Detroit, MI. Michael Dwayne Welch JR. practices in Grand Rapids, MI. The NPI Number for Michael Dwayne Welch JR. is 1023716925 and holds a License No. (Michigan).

The current practice location address for Michael Dwayne Welch JR. is 320 Commerce Ave Sw, Grand Rapids, MI and can be reached out via phone at 616-258-7599.

Location: 320 Commerce Ave Sw, Grand Rapids, MI, 48202-2943
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023716925
Provider Name
Michael Dwayne Welch JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
320 Commerce Ave Sw, Grand Rapids, MI, 48202-2943
Phone Number
616-258-7599
Fax Number
Provider Enumeration Date
02/20/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H0038 01 MI CERTIFIED PEER RECOVERY COACH MDHHS
institution
Provider Business Practice Location Address Details
Address
320 Commerce Ave Sw
City
Grand Rapids
State
Michigan
Zip
49503-4101
Phone Number
616-258-7599
Fax Number
person
Provider Business Mailing Address Details
Address
320 Commerce Ave Sw
City
Grand Rapids
State
Michigan
Zip
49503-4101
Phone Number
616-258-7599
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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