person
Mr. Thornton W.e.d. Walls III, CPSS
Peer Specialist in Detroit, Michigan
NPI 1972382612

Thornton W.e.d. Walls III is a Peer Specialist based in Detroit, MI. Thornton W.e.d. Walls III practices in Detroit, MI and has the professional credentials of CPSS. The NPI Number for Thornton W.e.d. Walls III is 1972382612 and holds a License No. (Michigan).

The current practice location address for Thornton W.e.d. Walls III is 12010 Linwood St, Detroit, MI and can be reached out via phone at 313-867-1090 and via fax at 313-867-0706.

Location: 12010 Linwood St, Detroit, MI, 48206-1108
person
Provider Profile Details
NPI Number
1972382612
Provider Name
Thornton W.e.d. Walls III
Credential
CPSS
Provider Entity Type
Individual
Gender
Male
Address
12010 Linwood St, Detroit, MI, 48206-1108
Phone Number
313-867-1090
Fax Number
313-867-0706
Provider Enumeration Date
09/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12010 Linwood St
City
State
Zip
48206-1108
Phone Number
313-867-1090
Fax Number
313-867-0706
person
Provider Business Mailing Address Details
Address
12010 Linwood St
City
State
Zip
48206-1108
Phone Number
313-867-1090
Fax Number
313-867-0706
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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