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Russell Thomas Beaudry
Peer Specialist in Marquette, Michigan
NPI 1588230510

Russell Thomas Beaudry is a Peer Specialist based in Ishpeming, MI. Russell Thomas Beaudry practices in Marquette, MI. The NPI Number for Russell Thomas Beaudry is 1588230510 and holds a License No. (Michigan).

The current practice location address for Russell Thomas Beaudry is 241 Wright St, Marquette, MI and can be reached out via phone at 906-228-7611 and via fax at 906-228-8156.

Location: 241 Wright St, Marquette, MI, 49849-2168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588230510
Provider Name
Russell Thomas Beaudry
Credential
Provider Entity Type
Individual
Gender
Male
Address
241 Wright St, Marquette, MI, 49849-2168
Phone Number
906-228-7611
Fax Number
906-228-8156
Provider Enumeration Date
06/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
241 Wright St
City
Marquette
State
Michigan
Zip
49855-1955
Phone Number
906-228-7611
Fax Number
906-228-8156
person
Provider Business Mailing Address Details
Address
241 Wright St
City
Marquette
State
Michigan
Zip
49855-1955
Phone Number
906-228-7611
Fax Number
906-228-8156
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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