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Larry G West II, CPSS,CPRC
Peer Specialist in Pontiac, Michigan
NPI 1376156919

Larry G West II is a Peer Specialist based in Pontiac, MI. Larry G West II practices in Pontiac, MI and has the professional credentials of CPSS,CPRC. The NPI Number for Larry G West II is 1376156919 and holds a License No. (Michigan).

The current practice location address for Larry G West II is 1685 Baldwin Ave Ste 100, Pontiac, MI and can be reached out via phone at 248-706-3450.

Location: 1685 Baldwin Ave Ste 100, Pontiac, MI, 48342-1890
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376156919
Provider Name
Larry G West II
Credential
CPSS,CPRC
Provider Entity Type
Individual
Gender
Male
Address
1685 Baldwin Ave Ste 100, Pontiac, MI, 48342-1890
Phone Number
248-706-3450
Fax Number
Provider Enumeration Date
08/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1685 Baldwin Ave Ste 100
City
Pontiac
State
Michigan
Zip
48340-1242
Phone Number
248-706-3450
Fax Number
person
Provider Business Mailing Address Details
Address
1685 Baldwin Ave Ste 100
City
Pontiac
State
Michigan
Zip
48340-1242
Phone Number
248-706-3450
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(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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