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Patricia Wentworth
Peer Specialist in Ionia, Michigan
NPI 1700305133

Patricia Wentworth is a Peer Specialist based in Ionia, MI. Patricia Wentworth practices in Ionia, MI. The NPI Number for Patricia Wentworth is 1700305133 and holds a License No. (Michigan).

The current practice location address for Patricia Wentworth is 375 Apple Tree Dr, Ionia, MI and can be reached out via phone at 616-527-1790.

Location: 375 Apple Tree Dr, Ionia, MI, 48846-7506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700305133
Provider Name
Patricia Wentworth
Credential
Provider Entity Type
Individual
Gender
Female
Address
375 Apple Tree Dr, Ionia, MI, 48846-7506
Phone Number
616-527-1790
Fax Number
Provider Enumeration Date
09/18/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1715928 05 MI
institution
Provider Business Practice Location Address Details
Address
375 Apple Tree Dr
City
Ionia
State
Michigan
Zip
48846-7506
Phone Number
616-527-1790
Fax Number
person
Provider Business Mailing Address Details
Address
375 Apple Tree Dr
City
Ionia
State
Michigan
Zip
48846-7506
Phone Number
616-527-1790
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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