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Mr. Paul Gerard Shankin JR., CCAR
Peer Specialist in Madison Heights, Michigan
NPI 1467123497

Paul Gerard Shankin JR. is a Peer Specialist based in Madison Heights, MI. Paul Gerard Shankin JR. practices in Madison Heights, MI and has the professional credentials of CCAR. The NPI Number for Paul Gerard Shankin JR. is 1467123497 and holds a License No. (Michigan).

The current practice location address for Paul Gerard Shankin JR. is 28303 Dequindre Rd, Madison Heights, MI and can be reached out via phone at 248-658-1116 and via fax at 248-658-1120.

Location: 28303 Dequindre Rd, Madison Heights, MI, 48071-3040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467123497
Provider Name
Paul Gerard Shankin JR.
Credential
CCAR
Provider Entity Type
Individual
Gender
Male
Address
28303 Dequindre Rd, Madison Heights, MI, 48071-3040
Phone Number
248-658-1116
Fax Number
248-658-1120
Provider Enumeration Date
09/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
28303 Dequindre Rd
City
Madison Heights
State
Michigan
Zip
48071-3040
Phone Number
248-658-1116
Fax Number
248-658-1120
person
Provider Business Mailing Address Details
Address
28303 Dequindre Rd
City
Madison Heights
State
Michigan
Zip
48071-3040
Phone Number
248-658-1116
Fax Number
248-658-1120
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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