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Mr. Tano Jose Lupu, PRC
Peer Specialist in Flint, Michigan
NPI 1306539770

Tano Jose Lupu is a Peer Specialist based in Flint, MI. Tano Jose Lupu practices in Flint, MI and has the professional credentials of PRC. The NPI Number for Tano Jose Lupu is 1306539770 and holds a License No. (Michigan).

The current practice location address for Tano Jose Lupu is 529 Martin Luther King Blvd, Flint, MI and can be reached out via phone at 810-238-7226.

Location: 529 Martin Luther King Blvd, Flint, MI, 48502-2002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306539770
Provider Name
Tano Jose Lupu
Credential
PRC
Provider Entity Type
Individual
Gender
Male
Address
529 Martin Luther King Blvd, Flint, MI, 48502-2002
Phone Number
810-238-7226
Fax Number
Provider Enumeration Date
05/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
529 Martin Luther King Blvd
City
Flint
State
Michigan
Zip
48502-2002
Phone Number
810-238-7226
Fax Number
person
Provider Business Mailing Address Details
Address
529 Martin Luther King Blvd
City
Flint
State
Michigan
Zip
48502-2002
Phone Number
810-238-7226
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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