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Kalissa Rachelle Thompson
Peer Specialist in Grand Rapids, Michigan
NPI 1497514921

Kalissa Rachelle Thompson is a Peer Specialist based in Grand Rapids, MI. Kalissa Rachelle Thompson practices in Grand Rapids, MI. The NPI Number for Kalissa Rachelle Thompson is 1497514921 and holds a License No. (Michigan).

The current practice location address for Kalissa Rachelle Thompson is 1115 Ball Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-456-6571.

Location: 1115 Ball Ave Ne, Grand Rapids, MI, 49505-5904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497514921
Provider Name
Kalissa Rachelle Thompson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1115 Ball Ave Ne, Grand Rapids, MI, 49505-5904
Phone Number
616-456-6571
Fax Number
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1115 Ball Ave Ne
City
Grand Rapids
State
Michigan
Zip
49505-5904
Phone Number
616-456-6571
Fax Number
person
Provider Business Mailing Address Details
Address
1115 Ball Ave Ne
City
Grand Rapids
State
Michigan
Zip
49505-5904
Phone Number
616-456-6571
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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