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Mr. Carrie A Edmunds
Peer Specialist in Grand Rapids, Michigan
NPI 1952186900

Carrie A Edmunds is a Peer Specialist based in Grand Rapids, MI. Carrie A Edmunds practices in Grand Rapids, MI. The NPI Number for Carrie A Edmunds is 1952186900 and holds a License No. (Michigan).

The current practice location address for Carrie A Edmunds is 790 Fuller Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-274-9164.

Location: 790 Fuller Ave Ne, Grand Rapids, MI, 49503-1918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952186900
Provider Name
Carrie A Edmunds
Credential
Provider Entity Type
Individual
Gender
Female
Address
790 Fuller Ave Ne, Grand Rapids, MI, 49503-1918
Phone Number
616-274-9164
Fax Number
Provider Enumeration Date
08/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
790 Fuller Ave Ne
City
Grand Rapids
State
Michigan
Zip
49503-1918
Phone Number
616-274-9164
Fax Number
person
Provider Business Mailing Address Details
Address
790 Fuller Ave Ne
City
Grand Rapids
State
Michigan
Zip
49503-1918
Phone Number
616-274-9164
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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