person
Jessie Camacho JR.
Peer Specialist in Detroit, Michigan
NPI 1487029575

Jessie Camacho JR. is a Peer Specialist based in Detroit, MI. Jessie Camacho JR. practices in Detroit, MI. The NPI Number for Jessie Camacho JR. is 1487029575 and holds a License No. (Michigan).

The current practice location address for Jessie Camacho JR. is 19436 Packard St, Detroit, MI and can be reached out via phone at 313-231-6049. You can also correspond with Jessie Camacho JR. through the mailing address at 19436 PACKARD ST, DETROIT, MI - 48234-3195 (mailing address contact number: ).

Location: 19436 Packard St, Detroit, MI, 48234-3195
person
Provider Profile Details
NPI Number
1487029575
Provider Name
Jessie Camacho JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
19436 Packard St, Detroit, MI, 48234-3195
Phone Number
313-231-6049
Fax Number
Provider Enumeration Date
12/01/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19436 Packard St
City
State
Zip
48234-3195
Phone Number
313-231-6049
Fax Number
person
Provider Business Mailing Address Details
Address
19436 Packard St
City
State
Zip
48234-3195
Phone Number
313-231-6049
Fax Number
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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