person
Quanicia Latricie Kirk
Peer Specialist in Detroit, Michigan
NPI 1144926825

Quanicia Latricie Kirk is a Peer Specialist based in Detroit, MI. Quanicia Latricie Kirk practices in Detroit, MI. The NPI Number for Quanicia Latricie Kirk is 1144926825 and holds a License No. (Michigan).

The current practice location address for Quanicia Latricie Kirk is 2925 Russell St, Detroit, MI and can be reached out via phone at 313-710-8744 and via fax at 855-568-2494.

Location: 2925 Russell St, Detroit, MI, 48207-4825
person
Provider Profile Details
NPI Number
1144926825
Provider Name
Quanicia Latricie Kirk
Credential
Provider Entity Type
Individual
Gender
Female
Address
2925 Russell St, Detroit, MI, 48207-4825
Phone Number
313-710-8744
Fax Number
855-568-2494
Provider Enumeration Date
02/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2925 Russell St
City
State
Zip
48207-4825
Phone Number
313-710-8744
Fax Number
855-568-2494
person
Provider Business Mailing Address Details
Address
2925 Russell St
City
State
Zip
48207-4825
Phone Number
313-710-8744
Fax Number
855-568-2494
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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