Clinton Thomas Mann - Phoenix, AZ

Clinton Thomas Mann

Peer Specialist in Phoenix, Arizona

NPI 1699495549

Clinton Thomas Mann is a Peer Specialist based in Phoenix, AZ. Clinton Thomas Mann practices in Phoenix, AZ. The NPI Number for Clinton Thomas Mann is 1699495549 and holds a License No. 86-0586210 (Arizona).

The current practice location address for Clinton Thomas Mann is 2432 W Peoria Ave Ste 1114, Phoenix, AZ and can be reached out via phone at 602-999-0028.

Location: 2432 W Peoria Ave Ste 1114, Phoenix, AZ, 85029-4732

NPI Number

1699495549

Provider Name

Clinton Thomas Mann

Credential

Provider Entity Type

Individual

Gender

Male

Address

2432 W Peoria Ave Ste 1114, Phoenix, AZ, 85029-4732

Phone Number

602-999-0028

Fax Number

Provider Enumeration Date

08/31/2022

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
D05124188	01	AZ	IDENTIFICATION CARD

Address

2432 W Peoria Ave Ste 1114

City

Phoenix

State

Arizona

Zip

85029-4732

Phone Number

602-999-0028

Fax Number

Address

2432 W Peoria Ave Ste 1114

City

Phoenix

State

Arizona

Zip

85029-4732

Phone Number

602-999-0028

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

86-0586210 (Arizona)

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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