person
Mr. Dwight Wenislow Porter SR., CPSS
Peer Specialist in Detroit, Michigan
NPI 1154077816

Dwight Wenislow Porter SR. is a Peer Specialist based in Detroit, MI. Dwight Wenislow Porter SR. practices in Detroit, MI and has the professional credentials of CPSS. The NPI Number for Dwight Wenislow Porter SR. is 1154077816 and holds a License No. (Michigan).

The current practice location address for Dwight Wenislow Porter SR. is 1852 West Grand Blvd, Detroit, MI and can be reached out via phone at 313-894-8444 and via fax at 313-894-5542.

Location: 1852 West Grand Blvd, Detroit, MI, 48208
person
Provider Profile Details
NPI Number
1154077816
Provider Name
Dwight Wenislow Porter SR.
Credential
CPSS
Provider Entity Type
Individual
Gender
Male
Address
1852 West Grand Blvd, Detroit, MI, 48208
Phone Number
313-894-8444
Fax Number
313-894-5542
Provider Enumeration Date
02/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1852 West Grand Blvd
City
State
Zip
48208
Phone Number
313-894-8444
Fax Number
313-894-5542
person
Provider Business Mailing Address Details
Address
1852 West Grand Blvd
City
State
Zip
48208
Phone Number
313-894-8444
Fax Number
313-894-5542
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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