person
Derrice Lamonte Martin, RECOVERYCOACH
Peer Specialist in Flint, Michigan
NPI 1780108043

Derrice Lamonte Martin is a Peer Specialist based in Flint, MI. Derrice Lamonte Martin practices in Flint, MI and has the professional credentials of RECOVERYCOACH. The NPI Number for Derrice Lamonte Martin is 1780108043 and holds a License No. (Michigan).

The current practice location address for Derrice Lamonte Martin is 901 Chippewa St, Flint, MI and can be reached out via phone at 810-232-9950 and via fax at 810-232-7599.

Location: 901 Chippewa St, Flint, MI, 48503
person
Provider Profile Details
NPI Number
1780108043
Provider Name
Derrice Lamonte Martin
Credential
RECOVERYCOACH
Provider Entity Type
Individual
Gender
Male
Address
901 Chippewa St, Flint, MI, 48503
Phone Number
810-232-9950
Fax Number
810-232-7599
Provider Enumeration Date
07/28/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 05 MI
institution
Provider Business Practice Location Address Details
Address
901 Chippewa St
City
State
Zip
48503-1552
Phone Number
810-232-9950
Fax Number
810-232-7599
person
Provider Business Mailing Address Details
Address
901 Chippewa St
City
State
Zip
48503-1552
Phone Number
810-232-9950
Fax Number
810-232-7599
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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