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Mr. Nathan Mullins I
Peer Specialist in Port Huron, Michigan
NPI 1275999799

Nathan Mullins I is a Peer Specialist based in Port Huron, MI. Nathan Mullins I practices in Port Huron, MI. The NPI Number for Nathan Mullins I is 1275999799 and holds a License No. 175T00000X (Michigan).

The current practice location address for Nathan Mullins I is 3111 Electric Ave, Port Huron, MI and can be reached out via phone at 810-966-4459.

Location: 3111 Electric Ave, Port Huron, MI, 48060-5377
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275999799
Provider Name
Nathan Mullins I
Credential
Provider Entity Type
Individual
Gender
Male
Address
3111 Electric Ave, Port Huron, MI, 48060-5377
Phone Number
810-966-4459
Fax Number
Provider Enumeration Date
01/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3111 Electric Ave
City
Port Huron
State
Michigan
Zip
48060-8127
Phone Number
810-966-4459
Fax Number
person
Provider Business Mailing Address Details
Address
3111 Electric Ave
City
Port Huron
State
Michigan
Zip
48060-8127
Phone Number
810-966-4459
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
175T00000X (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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