KRISTINA DECLUE CPS
NPI 1275008146
Peer Specialist in Detroit, MI
- Individual
- Female
- Peer Specialist
About KRISTINA DECLUE
This page provides the complete NPI Profile along with additional information for Kristina Declue, a provider established in Detroit, Michigan with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1275008146 assigned on October 2018. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1275008146 Verify this NPI
- Provider Name
- KRISTINA DECLUE CPS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 707 W MILWAUKEE ST DETROIT, MI 48202
- Location Phone
- (313) 833-2500
- Mailing Address
- 707 W MILWAUKEE ST DETROIT, MI 48202
- Mailing Phone
- (313) 833-2500
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-08-2018
- Last Update Date
- 01-19-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License State
- MI
- Taxonomy Description
- 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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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
DETROIT, MI 48202
DETROIT, MI 48202
DETROIT, MI 48202
DETROIT, MI 48202
DETROIT, MI 48202
DETROIT, MI 48202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275008146, enumerated as an "individual" on October 08, 2018.
The provider is located at 707 W MILWAUKEE ST DETROIT, MI 48202 and the phone number is (313) 833-2500.
Peer Specialist with taxonomy code 175T00000X.
