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Ryan Jeffrey Hackworth
Peer Specialist in Richmond, Michigan
NPI 1164142550

Ryan Jeffrey Hackworth is a Peer Specialist based in Port Huron, MI. Ryan Jeffrey Hackworth practices in Richmond, MI. The NPI Number for Ryan Jeffrey Hackworth is 1164142550 and holds a License No. (Michigan).

The current practice location address for Ryan Jeffrey Hackworth is 400 Stoddard Rd, Richmond, MI and can be reached out via phone at 810-392-2167.

Location: 400 Stoddard Rd, Richmond, MI, 48060-3876
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164142550
Provider Name
Ryan Jeffrey Hackworth
Credential
Provider Entity Type
Individual
Gender
Male
Address
400 Stoddard Rd, Richmond, MI, 48060-3876
Phone Number
810-392-2167
Fax Number
Provider Enumeration Date
08/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 Stoddard Rd
City
Richmond
State
Michigan
Zip
48062-2505
Phone Number
810-392-2167
Fax Number
person
Provider Business Mailing Address Details
Address
400 Stoddard Rd
City
Richmond
State
Michigan
Zip
48062-2505
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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