David Keith Wallis - Madison Heights, MI

David Keith Wallis

Peer Specialist in Madison Heights, Michigan

NPI 1134685167

David Keith Wallis is a Peer Specialist based in Madison Heights, MI. David Keith Wallis practices in Madison Heights, MI. The NPI Number for David Keith Wallis is 1134685167 and holds a License No. (Michigan).

The current practice location address for David Keith Wallis is 1400 E 12 Mile Rd, Madison Heights, MI and can be reached out via phone at 248-658-1116 and via fax at 248-658-1120.

Location: 1400 E 12 Mile Rd, Madison Heights, MI, 48071-2651

NPI Number

1134685167

Provider Name

David Keith Wallis

Credential

Provider Entity Type

Individual

Gender

Male

Address

1400 E 12 Mile Rd, Madison Heights, MI, 48071-2651

Phone Number

248-658-1116

Fax Number

248-658-1120

Provider Enumeration Date

02/14/2019

Last Update Date

03/10/2024

Address

1400 E 12 Mile Rd

City

Madison Heights

State

Michigan

Zip

48071-2651

Phone Number

248-658-1116

Fax Number

248-658-1120

Address

1400 E 12 Mile Rd

City

Madison Heights

State

Michigan

Zip

48071-2651

Phone Number

248-658-1116

Fax Number

248-658-1120

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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