person
Miss Kathleen Mae Carroll
Peer Specialist in Ann Arbor, Michigan
NPI 1528742178

Kathleen Mae Carroll is a Peer Specialist based in Ypsilanti, MI. Kathleen Mae Carroll practices in Ann Arbor, MI. The NPI Number for Kathleen Mae Carroll is 1528742178 and holds a License No. (Michigan).

The current practice location address for Kathleen Mae Carroll is 2140 E Ellsworth Rd, Ann Arbor, MI and can be reached out via phone at 734-544-3050 and via fax at 734-544-6732. You can also correspond with Kathleen Mae Carroll through the mailing address at 555 TOWNER ST, YPSILANTI, MI - 48198-5723 (mailing address contact number: 734-544-3050).

Location: 2140 E Ellsworth Rd, Ann Arbor, MI, 48198-5723
person
Provider Profile Details
NPI Number
1528742178
Provider Name
Kathleen Mae Carroll
Credential
Provider Entity Type
Individual
Gender
Female
Address
2140 E Ellsworth Rd, Ann Arbor, MI, 48198-5723
Phone Number
734-544-3050
Fax Number
734-544-6732
Provider Enumeration Date
06/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2140 E Ellsworth Rd
City
State
Zip
48108-2552
Phone Number
734-544-3050
Fax Number
734-544-6732
person
Provider Business Mailing Address Details
Address
2140 E Ellsworth Rd
City
State
Zip
48108-2552
Phone Number
734-544-3050
Fax Number
734-544-6732
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(Michigan)
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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