Darrell Chisolm is a Peer Specialist based in Detroit, MI. Darrell Chisolm practices in Detroit, MI. The NPI Number for Darrell Chisolm is 1912775974 and holds a License No. (Michigan).
The current practice location address for Darrell Chisolm is 1423 Field St, Detroit, MI and can be reached out via phone at 313-728-8015.
Location: 1423 Field St, Detroit, MI, 48214-2321
Provider Profile Details
NPI Number
1912775974
Provider Name
Darrell Chisolm
Credential
Provider Entity Type
Individual
Gender
Male
Address
1423 Field St, Detroit, MI, 48214-2321
Phone Number
313-728-8015
Fax Number
Provider Enumeration Date
12/19/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1423 Field St
City
State
Zip
48214-2321
Phone Number
313-728-8015
Fax Number
Provider Business Mailing Address Details
Address
1423 Field St
City
State
Zip
48214-2321
Phone Number
313-728-8015
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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