person
Odetta Pernell, CPSS
Peer Specialist in Detroit, Michigan
NPI 1346635000

Odetta Pernell is a Peer Specialist based in Detroit, MI. Odetta Pernell practices in Detroit, MI and has the professional credentials of CPSS. The NPI Number for Odetta Pernell is 1346635000 and holds a License No. (Michigan).

The current practice location address for Odetta Pernell is 10 Peterboro St, Detroit, MI and can be reached out via phone at 313-831-3160 and via fax at 313-831-2604.

Location: 10 Peterboro St, Detroit, MI, 48201-2722
person
Provider Profile Details
NPI Number
1346635000
Provider Name
Odetta Pernell
Credential
CPSS
Provider Entity Type
Individual
Gender
Female
Address
10 Peterboro St, Detroit, MI, 48201-2722
Phone Number
313-831-3160
Fax Number
313-831-2604
Provider Enumeration Date
03/31/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10 Peterboro St
City
State
Zip
48201-2722
Phone Number
313-831-3160
Fax Number
313-831-2604
person
Provider Business Mailing Address Details
Address
10 Peterboro St
City
State
Zip
48201-2722
Phone Number
313-831-3160
Fax Number
313-831-2604
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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