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Kalisti Katherine Matthews
Peer Specialist in Kalamazoo, Michigan
NPI 1124889589

Kalisti Katherine Matthews is a Peer Specialist based in Kalamazoo, MI. Kalisti Katherine Matthews practices in Kalamazoo, MI. The NPI Number for Kalisti Katherine Matthews is 1124889589 and holds a License No. (Michigan).

The current practice location address for Kalisti Katherine Matthews is 1910 Shaffer St, Kalamazoo, MI and can be reached out via phone at 269-382-9820.

Location: 1910 Shaffer St, Kalamazoo, MI, 49048-1604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124889589
Provider Name
Kalisti Katherine Matthews
Credential
Provider Entity Type
Individual
Gender
Female
Address
1910 Shaffer St, Kalamazoo, MI, 49048-1604
Phone Number
269-382-9820
Fax Number
Provider Enumeration Date
01/22/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1910 Shaffer St
City
Kalamazoo
State
Michigan
Zip
49048-1604
Phone Number
269-382-9820
Fax Number
person
Provider Business Mailing Address Details
Address
1910 Shaffer St
City
Kalamazoo
State
Michigan
Zip
49048-1604
Phone Number
269-382-9820
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
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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