Timothy Green is a Peer Specialist based in Traverse City, MI. Timothy Green practices in Traverse City, MI. The NPI Number for Timothy Green is 1316639735 and holds a License No. (Michigan).
The current practice location address for Timothy Green is 105 Hall St, Traverse City, MI and can be reached out via phone at 231-922-4850.
Location: 105 Hall St, Traverse City, MI, 49684-2288
Provider Profile Details
NPI Number
1316639735
Provider Name
Timothy Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
105 Hall St, Traverse City, MI, 49684-2288
Phone Number
231-922-4850
Fax Number
Provider Enumeration Date
05/24/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
105 Hall St
City
State
Zip
49684-2288
Phone Number
231-922-4850
Fax Number
Provider Business Mailing Address Details
Address
105 Hall St
City
State
Zip
49684-2288
Phone Number
231-922-4850
Fax Number
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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