Timothy Green
Peer Specialist in Traverse City, MI. Individual provider (NPI-1).
NPI number1316639735
StatusActive
Last updated in NPPESMay 24, 2023
Details
- NPI
- 1316639735
- Entity type
- Individual (NPI-1)
- Name
- Timothy Green
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 24, 2023
- Certification date
- Apr 28, 2023
- Last updated
- May 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
105 Hall StTraverse City, MI 49684-2288
Phone 231-922-4850
Mailing address
105 Hall StTraverse City, MI 49684-2288
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 32 Peer Specialist providers in Traverse City · All 4,445 providers in Traverse City
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