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Jennifer Cullom
Peer Specialist in Holland, Michigan
NPI 1457895526

Jennifer Cullom is a Peer Specialist based in Holland, MI. Jennifer Cullom practices in Holland, MI. The NPI Number for Jennifer Cullom is 1457895526 and holds a License No. (Michigan).

The current practice location address for Jennifer Cullom is 12265 James St, Holland, MI and can be reached out via phone at 616-393-5600 and via fax at 616-393-5687. You can also correspond with Jennifer Cullom through the mailing address at 12265 JAMES ST, HOLLAND, MI - 49424-8613 (mailing address contact number: 616-393-5600).

Location: 12265 James St, Holland, MI, 49424-8613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457895526
Provider Name
Jennifer Cullom
Credential
Provider Entity Type
Individual
Gender
Female
Address
12265 James St, Holland, MI, 49424-8613
Phone Number
616-393-5600
Fax Number
616-393-5687
Provider Enumeration Date
12/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12265 James St
City
Holland
State
Michigan
Zip
49424-8613
Phone Number
616-393-5600
Fax Number
616-393-5687
person
Provider Business Mailing Address Details
Address
12265 James St
City
Holland
State
Michigan
Zip
49424-8613
Phone Number
616-393-5600
Fax Number
616-393-5687
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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