person
Mr. Renardo Anzell Bowles SR., CPRC,CPSS
Peer Specialist in Detroit, Michigan
NPI 1477200053

Renardo Anzell Bowles SR. is a Peer Specialist based in Detroit, MI. Renardo Anzell Bowles SR. practices in Detroit, MI and has the professional credentials of CPRC,CPSS. The NPI Number for Renardo Anzell Bowles SR. is 1477200053 and holds a License No. (Michigan).

The current practice location address for Renardo Anzell Bowles SR. is 1121 E Mcnichols Rd, Detroit, MI and can be reached out via phone at 313-365-3100 and via fax at 313-365-3101.

Location: 1121 E Mcnichols Rd, Detroit, MI, 48213-3348
person
Provider Profile Details
NPI Number
1477200053
Provider Name
Renardo Anzell Bowles SR.
Credential
CPRC,CPSS
Provider Entity Type
Individual
Gender
Male
Address
1121 E Mcnichols Rd, Detroit, MI, 48213-3348
Phone Number
313-365-3100
Fax Number
313-365-3101
Provider Enumeration Date
03/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1121 E Mcnichols Rd
City
State
Zip
48203-2857
Phone Number
313-365-3100
Fax Number
313-365-3101
person
Provider Business Mailing Address Details
Address
1121 E Mcnichols Rd
City
State
Zip
48203-2857
Phone Number
313-365-3100
Fax Number
313-365-3101
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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