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Mackenzie Breithaupt
Peer Specialist in Traverse City, Michigan
NPI 1417697095

Mackenzie Breithaupt is a Peer Specialist based in Traverse City, MI. Mackenzie Breithaupt practices in Traverse City, MI. The NPI Number for Mackenzie Breithaupt is 1417697095 and holds a License No. (Michigan).

The current practice location address for Mackenzie Breithaupt is 105 Hall St Unit A, Traverse City, MI and can be reached out via phone at 231-965-3762. You can also correspond with Mackenzie Breithaupt through the mailing address at 105 HALL ST UNIT A, TRAVERSE CITY, MI - 49684-2288 (mailing address contact number: 231-965-3762).

Location: 105 Hall St Unit A, Traverse City, MI, 49684-2288
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417697095
Provider Name
Mackenzie Breithaupt
Credential
Provider Entity Type
Individual
Gender
Female
Address
105 Hall St Unit A, Traverse City, MI, 49684-2288
Phone Number
231-965-3762
Fax Number
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
105 Hall St Unit A
City
Traverse City
State
Michigan
Zip
49684-2288
Phone Number
231-965-3762
Fax Number
person
Provider Business Mailing Address Details
Address
105 Hall St Unit A
City
Traverse City
State
Michigan
Zip
49684-2288
Phone Number
231-965-3762
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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