Shannon Gross is a Peer Specialist based in Detroit, MI. Shannon Gross practices in Detroit, MI. The NPI Number for Shannon Gross is 1801294616 and holds a License No. (Michigan).
The current practice location address for Shannon Gross is 2900 Conner St, Detroit, MI and can be reached out via phone at 313-824-5623.
Location: 2900 Conner St, Detroit, MI, 48215-2407
Provider Profile Details
NPI Number
1801294616
Provider Name
Shannon Gross
Credential
Provider Entity Type
Individual
Gender
Female
Address
2900 Conner St, Detroit, MI, 48215-2407
Phone Number
313-824-5623
Fax Number
Provider Enumeration Date
12/10/2014
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
2900 Conner St
City
State
Zip
48215-2407
Phone Number
313-824-5623
Fax Number
Provider Business Mailing Address Details
Address
2900 Conner St
City
State
Zip
48215-2407
Phone Number
313-824-5623
Fax Number
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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