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Phillip Wayne Jewell
Peer Specialist in Highland Park, Michigan
NPI 1922653286

Phillip Wayne Jewell is a Peer Specialist based in Oak Park, MI. Phillip Wayne Jewell practices in Highland Park, MI. The NPI Number for Phillip Wayne Jewell is 1922653286 and holds a License No. (Michigan).

The current practice location address for Phillip Wayne Jewell is 16300 Woodward Ave, Highland Park, MI and can be reached out via phone at 313-365-7211 and via fax at 313-365-7211.

Location: 16300 Woodward Ave, Highland Park, MI, 48237-2523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922653286
Provider Name
Phillip Wayne Jewell
Credential
Provider Entity Type
Individual
Gender
Male
Address
16300 Woodward Ave, Highland Park, MI, 48237-2523
Phone Number
313-365-7211
Fax Number
313-365-7211
Provider Enumeration Date
08/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16300 Woodward Ave
City
Highland Park
State
Michigan
Zip
48203-2882
Phone Number
313-365-7211
Fax Number
313-365-7211
person
Provider Business Mailing Address Details
Address
16300 Woodward Ave
City
Highland Park
State
Michigan
Zip
48203-2882
Phone Number
313-365-7211
Fax Number
313-365-7211
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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