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Nicole Diane Charles
Peer Specialist in Detroit, Michigan
NPI 1154008100

Nicole Diane Charles is a Peer Specialist based in Detroit, MI. Nicole Diane Charles practices in Detroit, MI. The NPI Number for Nicole Diane Charles is 1154008100 and holds a License No. (Michigan).

The current practice location address for Nicole Diane Charles is 6309 Mack Ave, Detroit, MI and can be reached out via phone at 313-331-3435.

Location: 6309 Mack Ave, Detroit, MI, 48207-2302
person
Provider Profile Details
NPI Number
1154008100
Provider Name
Nicole Diane Charles
Credential
Provider Entity Type
Individual
Gender
Female
Address
6309 Mack Ave, Detroit, MI, 48207-2302
Phone Number
313-331-3435
Fax Number
Provider Enumeration Date
06/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6309 Mack Ave
City
State
Zip
48207-2302
Phone Number
313-331-3435
Fax Number
person
Provider Business Mailing Address Details
Address
6309 Mack Ave
City
State
Zip
48207-2302
Phone Number
313-331-3435
Fax Number
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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