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Jordan Mark Shulman
Peer Specialist in Pontiac, Michigan
NPI 1861025991

Jordan Mark Shulman is a Peer Specialist based in Pontiac, MI. Jordan Mark Shulman practices in Pontiac, MI. The NPI Number for Jordan Mark Shulman is 1861025991 and holds a License No. (Michigan).

The current practice location address for Jordan Mark Shulman is 1841 N Perry St, Pontiac, MI and can be reached out via phone at 248-409-4237.

Location: 1841 N Perry St, Pontiac, MI, 48340-2235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861025991
Provider Name
Jordan Mark Shulman
Credential
Provider Entity Type
Individual
Gender
Male
Address
1841 N Perry St, Pontiac, MI, 48340-2235
Phone Number
248-409-4237
Fax Number
Provider Enumeration Date
02/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1841 N Perry St
City
Pontiac
State
Michigan
Zip
48340-2235
Phone Number
248-409-4237
Fax Number
person
Provider Business Mailing Address Details
Address
1841 N Perry St
City
Pontiac
State
Michigan
Zip
48340-2235
Phone Number
248-409-4237
Fax Number
person
Provider's Taxonomy Details 1
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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