Gwen Walker is a Peer Specialist based in Detroit, MI. Gwen Walker practices in Detroit, MI. The NPI Number for Gwen Walker is 1245745256 and holds a License No. (Michigan).
The current practice location address for Gwen Walker is 1600 Porter St, Detroit, MI and can be reached out via phone at 313-963-6601.
Location: 1600 Porter St, Detroit, MI, 48216-1936
Provider Profile Details
NPI Number
1245745256
Provider Name
Gwen Walker
Credential
Provider Entity Type
Individual
Gender
Female
Address
1600 Porter St, Detroit, MI, 48216-1936
Phone Number
313-963-6601
Fax Number
Provider Enumeration Date
12/13/2017
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W426293651569 | 05 | MI |
Provider Business Practice Location Address Details
Address
1600 Porter St
City
State
Zip
48216-1936
Phone Number
313-963-6601
Fax Number
Provider Business Mailing Address Details
Address
1600 Porter St
City
State
Zip
48216-1936
Phone Number
313-963-6601
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(Michigan)
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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