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Tina Michele Moore
Peer Specialist in Ypsilanti, Michigan
NPI 1124807953

Tina Michele Moore is a Peer Specialist based in Ypsilanti, MI. Tina Michele Moore practices in Ypsilanti, MI. The NPI Number for Tina Michele Moore is 1124807953 and holds a License No. (Michigan).

The current practice location address for Tina Michele Moore is 8775 Spinnaker Way Apt A1, Ypsilanti, MI and can be reached out via phone at 734-329-3590.

Location: 8775 Spinnaker Way Apt A1, Ypsilanti, MI, 48197-7156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124807953
Provider Name
Tina Michele Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
8775 Spinnaker Way Apt A1, Ypsilanti, MI, 48197-7156
Phone Number
734-329-3590
Fax Number
Provider Enumeration Date
09/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8775 Spinnaker Way Apt A1
City
Ypsilanti
State
Michigan
Zip
48197-7156
Phone Number
734-329-3590
Fax Number
person
Provider Business Mailing Address Details
Address
8775 Spinnaker Way Apt A1
City
Ypsilanti
State
Michigan
Zip
48197-7156
Phone Number
734-329-3590
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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