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Jonathon Mitchell Maxgay
Peer Specialist in Madison Heights, Michigan
NPI 1134853492

Jonathon Mitchell Maxgay is a Peer Specialist based in Shelby Township, MI. Jonathon Mitchell Maxgay practices in Madison Heights, MI. The NPI Number for Jonathon Mitchell Maxgay is 1134853492 and holds a License No. (Michigan).

The current practice location address for Jonathon Mitchell Maxgay is 28303 Dequindre Rd, Madison Heights, MI and can be reached out via phone at 810-392-2167.

Location: 28303 Dequindre Rd, Madison Heights, MI, 48317-3873
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134853492
Provider Name
Jonathon Mitchell Maxgay
Credential
Provider Entity Type
Individual
Gender
Male
Address
28303 Dequindre Rd, Madison Heights, MI, 48317-3873
Phone Number
810-392-2167
Fax Number
Provider Enumeration Date
07/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
28303 Dequindre Rd
City
Madison Heights
State
Michigan
Zip
48071-3040
Phone Number
810-392-2167
Fax Number
person
Provider Business Mailing Address Details
Address
28303 Dequindre Rd
City
Madison Heights
State
Michigan
Zip
48071-3040
Phone Number
810-392-2167
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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