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Peter John Sando II
Peer Specialist in Benton Harbor, Michigan
NPI 1821638495

Peter John Sando II is a Peer Specialist based in Benton Harbor, MI. Peter John Sando II practices in Benton Harbor, MI. The NPI Number for Peter John Sando II is 1821638495 and holds a License No. (Michigan).

The current practice location address for Peter John Sando II is 1485 M 139, Benton Harbor, MI and can be reached out via phone at 269-925-0585.

Location: 1485 M 139, Benton Harbor, MI, 49022-5711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821638495
Provider Name
Peter John Sando II
Credential
Provider Entity Type
Individual
Gender
Male
Address
1485 M 139, Benton Harbor, MI, 49022-5711
Phone Number
269-925-0585
Fax Number
Provider Enumeration Date
01/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1485 M 139
City
Benton Harbor
State
Michigan
Zip
49022-5711
Phone Number
269-925-0585
Fax Number
person
Provider Business Mailing Address Details
Address
1485 M 139
City
Benton Harbor
State
Michigan
Zip
49022-5711
Phone Number
269-925-0585
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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