person
Cleo Tyrone Blue JR., CPRS
Peer Specialist in Baltimore, Maryland
NPI 1902675846

Cleo Tyrone Blue JR. is a Peer Specialist based in Baltimore, MD. Cleo Tyrone Blue JR. practices in Baltimore, MD and has the professional credentials of CPRS. The NPI Number for Cleo Tyrone Blue JR. is 1902675846 and holds a License No. PR0859 (Maryland).

The current practice location address for Cleo Tyrone Blue JR. is 14 S Broadway, Baltimore, MD and can be reached out via phone at 410-276-1773. You can also correspond with Cleo Tyrone Blue JR. through the mailing address at 14 S BROADWAY, BALTIMORE, MD - 21231-1712 (mailing address contact number: 410-276-1773).

Location: 14 S Broadway, Baltimore, MD, 21231-1712
person
Provider Profile Details
NPI Number
1902675846
Provider Name
Cleo Tyrone Blue JR.
Credential
CPRS
Provider Entity Type
Individual
Gender
Male
Address
14 S Broadway, Baltimore, MD, 21231-1712
Phone Number
410-276-1773
Fax Number
Provider Enumeration Date
12/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14 S Broadway
City
State
Zip
21231-1712
Phone Number
410-276-1773
Fax Number
person
Provider Business Mailing Address Details
Address
14 S Broadway
City
State
Zip
21231-1712
Phone Number
410-276-1773
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
PR0859 (Maryland)
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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