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Keith Edward Graham, CERTIFIEDPEERRECOV
Peer Specialist in Livonia, Michigan
NPI 1902438161

Keith Edward Graham is a Peer Specialist based in Livonia, MI. Keith Edward Graham practices in Livonia, MI and has the professional credentials of CERTIFIEDPEERRECOV. The NPI Number for Keith Edward Graham is 1902438161 and holds a License No. (Michigan).

The current practice location address for Keith Edward Graham is 37450 Schoolcraft Rd Ste 110, Livonia, MI and can be reached out via phone at 734-458-4601 and via fax at 734-793-5380.

Location: 37450 Schoolcraft Rd Ste 110, Livonia, MI, 48150-1000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902438161
Provider Name
Keith Edward Graham
Credential
CERTIFIEDPEERRECOV
Provider Entity Type
Individual
Gender
Male
Address
37450 Schoolcraft Rd Ste 110, Livonia, MI, 48150-1000
Phone Number
734-458-4601
Fax Number
734-793-5380
Provider Enumeration Date
02/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
37450 Schoolcraft Rd Ste 110
City
Livonia
State
Michigan
Zip
48150-1000
Phone Number
734-458-4601
Fax Number
734-793-5380
person
Provider Business Mailing Address Details
Address
37450 Schoolcraft Rd Ste 110
City
Livonia
State
Michigan
Zip
48150-1000
Phone Number
734-458-4601
Fax Number
734-793-5380
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Michigan)
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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