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Gina Smith, CPRM
Peer Specialist in Detroit, Michigan
NPI 1255817458

Gina Smith is a Peer Specialist based in Detroit, MI. Gina Smith practices in Detroit, MI and has the professional credentials of CPRM. The NPI Number for Gina Smith is 1255817458 and holds a License No. (Michigan).

The current practice location address for Gina Smith is 15941 Fairfield St, Detroit, MI and can be reached out via phone at 313-345-4310 and via fax at 313-345-4315.

Location: 15941 Fairfield St, Detroit, MI, 48238-4123
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Provider Profile Details
NPI Number
1255817458
Provider Name
Gina Smith
Credential
CPRM
Provider Entity Type
Individual
Gender
Female
Address
15941 Fairfield St, Detroit, MI, 48238-4123
Phone Number
313-345-4310
Fax Number
313-345-4315
Provider Enumeration Date
07/11/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
204986314 05 MI
institution
Provider Business Practice Location Address Details
Address
15941 Fairfield St
City
State
Zip
48238-4123
Phone Number
313-345-4310
Fax Number
313-345-4315
person
Provider Business Mailing Address Details
Address
15941 Fairfield St
City
State
Zip
48238-4123
Phone Number
313-345-4310
Fax Number
313-345-4315
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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