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Charell Holman
Peer Specialist in Grand Rapids, Michigan
NPI 1548837552

Charell Holman is a Peer Specialist based in Grand Rapids, MI. Charell Holman practices in Grand Rapids, MI. The NPI Number for Charell Holman is 1548837552 and holds a License No. (Michigan).

The current practice location address for Charell Holman is 1115 Ball Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-456-8010 and via fax at 616-456-6396.

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
1548837552
Provider Name
Charell Holman
Credential
Provider Entity Type
Individual
Gender
Female
Address
1115 Ball Ave Ne, Grand Rapids, MI, 49505-5904
Phone Number
616-456-8010
Fax Number
616-456-6396
Provider Enumeration Date
06/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1115 Ball Ave Ne
City
Grand Rapids
State
Michigan
Zip
49505-5904
Phone Number
616-456-8010
Fax Number
616-456-6396
person
Provider Business Mailing Address Details
Address
1115 Ball Ave Ne
City
Grand Rapids
State
Michigan
Zip
49505-5904
Phone Number
616-456-8010
Fax Number
616-456-6396
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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