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Colleen Kay Chupa
Peer Specialist in Pontiac, Michigan
NPI 1235728148

Colleen Kay Chupa is a Peer Specialist based in Pontiac, MI. Colleen Kay Chupa practices in Pontiac, MI. The NPI Number for Colleen Kay Chupa is 1235728148 and holds a License No. (Michigan).

The current practice location address for Colleen Kay Chupa is 1685 Baldwin Ave Ste 100, Pontiac, MI and can be reached out via phone at 248-475-6400.

Location: 1685 Baldwin Ave Ste 100, Pontiac, MI, 48340-1242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235728148
Provider Name
Colleen Kay Chupa
Credential
Provider Entity Type
Individual
Gender
Female
Address
1685 Baldwin Ave Ste 100, Pontiac, MI, 48340-1242
Phone Number
248-475-6400
Fax Number
Provider Enumeration Date
01/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1685 Baldwin Ave Ste 100
City
Pontiac
State
Michigan
Zip
48340-1242
Phone Number
248-475-6400
Fax Number
person
Provider Business Mailing Address Details
Address
1685 Baldwin Ave Ste 100
City
Pontiac
State
Michigan
Zip
48340-1242
Phone Number
248-475-6400
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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