SHANNON GROSS NPI 1801294616

NPI Information

Shannon Gross is a peer specialist in Detroit, MI. The provider is 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. Shannon Gross NPI is 1801294616. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2900 CONNER ST
DETROIT, MI
ZIP 48215-407
Phone: (313) 824-5623

The enumeration date for this NPI number is 12/10/2014 and was last updated on 12/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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