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John William Quinlisk
Peer Specialist in Canton, Michigan
NPI 1578107728

John William Quinlisk is a Peer Specialist based in Canton, MI. John William Quinlisk practices in Canton, MI. The NPI Number for John William Quinlisk is 1578107728 and holds a License No. (Michigan).

The current practice location address for John William Quinlisk is 50430 School House Rd, Canton, MI and can be reached out via phone at 734-495-8722.

Location: 50430 School House Rd, Canton, MI, 48187-5910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578107728
Provider Name
John William Quinlisk
Credential
Provider Entity Type
Individual
Gender
Male
Address
50430 School House Rd, Canton, MI, 48187-5910
Phone Number
734-495-8722
Fax Number
Provider Enumeration Date
10/31/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
282334 05 MI
institution
Provider Business Practice Location Address Details
Address
50430 School House Rd
City
Canton
State
Michigan
Zip
48187-5910
Phone Number
734-495-8722
Fax Number
person
Provider Business Mailing Address Details
Address
50430 School House Rd
City
Canton
State
Michigan
Zip
48187-5910
Phone Number
734-495-8722
Fax Number
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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