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Kristin Marie Shade
Peer Specialist in Flint, Michigan
NPI 1548923139

Kristin Marie Shade is a Peer Specialist based in Flint, MI. Kristin Marie Shade practices in Flint, MI. The NPI Number for Kristin Marie Shade is 1548923139 and holds a License No. (Michigan).

The current practice location address for Kristin Marie Shade is 932 Beach St, Flint, MI and can be reached out via phone at 810-238-5888.

Location: 932 Beach St, Flint, MI, 48502-2002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548923139
Provider Name
Kristin Marie Shade
Credential
Provider Entity Type
Individual
Gender
Female
Address
932 Beach St, Flint, MI, 48502-2002
Phone Number
810-238-5888
Fax Number
Provider Enumeration Date
10/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
932 Beach St
City
Flint
State
Michigan
Zip
48502-1502
Phone Number
810-238-5888
Fax Number
person
Provider Business Mailing Address Details
Address
932 Beach St
City
Flint
State
Michigan
Zip
48502-1502
Phone Number
810-238-5888
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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