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Michelle Nikole Maxwell, PEERSUPPORTSP
Peer Specialist in Cordova, Alaska
NPI 1578223145

Michelle Nikole Maxwell is a Peer Specialist based in Cordova, AK. Michelle Nikole Maxwell practices in Cordova, AK and has the professional credentials of PEERSUPPORTSP. The NPI Number for Michelle Nikole Maxwell is 1578223145 and holds a License No. (Alaska).

The current practice location address for Michelle Nikole Maxwell is 602 Chase Ave., Cordova, AK and can be reached out via phone at 907-424-8300 and via fax at 907-424-8645. You can also correspond with Michelle Nikole Maxwell through the mailing address at PO BOX 160, CORDOVA, AK - 99574-0160 (mailing address contact number: 907-424-8300).

Location: 602 Chase Ave., Cordova, AK, 99574-0160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578223145
Provider Name
Michelle Nikole Maxwell
Credential
PEERSUPPORTSP
Provider Entity Type
Individual
Gender
Female
Address
602 Chase Ave., Cordova, AK, 99574-0160
Phone Number
907-424-8300
Fax Number
907-424-8645
Provider Enumeration Date
12/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
602 Chase Ave.
City
Cordova
State
Alaska
Zip
99574
Phone Number
907-424-8300
Fax Number
907-424-8645
person
Provider Business Mailing Address Details
Address
Po Box 160
City
Cordova
State
Alaska
Zip
99574-0160
Phone Number
907-424-8300
Fax Number
907-424-8645
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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