Allisa Longbrake
Peer Specialist in Constantine, MI. Individual provider (NPI-1).
NPI number1033040902
StatusActive
Last updated in NPPESMay 28, 2026
Details
- NPI
- 1033040902
- Entity type
- Individual (NPI-1)
- Name
- Allisa Longbrake
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 28, 2026
- Certification date
- May 28, 2026
- Last updated
- May 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
64301 Lutz RdConstantine, MI 49042-8718
Phone 269-221-3423
Mailing address
64301 Lutz RdConstantine, MI 49042-8718
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