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Timothy R Chitwood, PEERRECOVERYMENTOR
Peer Specialist in Detroit, Michigan
NPI 1801441092

Timothy R Chitwood is a Peer Specialist based in Detroit, MI. Timothy R Chitwood practices in Detroit, MI and has the professional credentials of PEERRECOVERYMENTOR. The NPI Number for Timothy R Chitwood is 1801441092 and holds a License No. (Michigan).

The current practice location address for Timothy R Chitwood is 9605 Grand River Ave, Detroit, MI and can be reached out via phone at 313-834-5930.

Location: 9605 Grand River Ave, Detroit, MI, 48219-2266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801441092
Provider Name
Timothy R Chitwood
Credential
PEERRECOVERYMENTOR
Provider Entity Type
Individual
Gender
Male
Address
9605 Grand River Ave, Detroit, MI, 48219-2266
Phone Number
313-834-5930
Fax Number
Provider Enumeration Date
08/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9605 Grand River Ave
City
Detroit
State
Michigan
Zip
48204-2139
Phone Number
313-834-5930
Fax Number
person
Provider Business Mailing Address Details
Address
9605 Grand River Ave
City
Detroit
State
Michigan
Zip
48204-2139
Phone Number
313-834-5930
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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