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Roberta Lynn Doll
Peer Specialist in Niles, Michigan
NPI 1760047351

Roberta Lynn Doll is a Peer Specialist based in Niles, MI. Roberta Lynn Doll practices in Niles, MI. The NPI Number for Roberta Lynn Doll is 1760047351 and holds a License No. 110082 (Michigan).

The current practice location address for Roberta Lynn Doll is 1225 S 11Th St, Niles, MI and can be reached out via phone at 269-684-7741.

Location: 1225 S 11Th St, Niles, MI, 49120-4392
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760047351
Provider Name
Roberta Lynn Doll
Credential
Provider Entity Type
Individual
Gender
Female
Address
1225 S 11Th St, Niles, MI, 49120-4392
Phone Number
269-684-7741
Fax Number
Provider Enumeration Date
05/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1225 S 11Th St
City
Niles
State
Michigan
Zip
49120-3408
Phone Number
269-684-7741
Fax Number
person
Provider Business Mailing Address Details
Address
1225 S 11Th St
City
Niles
State
Michigan
Zip
49120-3408
Phone Number
269-684-7741
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
110082 (Michigan)
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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