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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.

Location: 2140 E Ellsworth Rd, Ann Arbor, MI, 48198-5723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Ann Arbor
State
Michigan
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
Ann Arbor
State
Michigan
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
175T00000X
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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