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Amanda Lynn Bolotta
Peer Specialist in Richmond, Michigan
NPI 1609417146

Amanda Lynn Bolotta is a Peer Specialist based in Port Huron, MI. Amanda Lynn Bolotta practices in Richmond, MI. The NPI Number for Amanda Lynn Bolotta is 1609417146 and holds a License No. (Michigan).

The current practice location address for Amanda Lynn Bolotta is 400 Stoddard Rd, Richmond, MI and can be reached out via phone at 810-392-2167.

Location: 400 Stoddard Rd, Richmond, MI, 48060-3239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609417146
Provider Name
Amanda Lynn Bolotta
Credential
Provider Entity Type
Individual
Gender
Female
Address
400 Stoddard Rd, Richmond, MI, 48060-3239
Phone Number
810-392-2167
Fax Number
Provider Enumeration Date
10/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 Stoddard Rd
City
Richmond
State
Michigan
Zip
48062-2505
Phone Number
810-392-2167
Fax Number
person
Provider Business Mailing Address Details
Address
400 Stoddard Rd
City
Richmond
State
Michigan
Zip
48062-2505
Phone Number
810-392-2167
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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