MACKENZIE BREITHAUPT

Peer Specialist

Active Individual
NPI: 1417697095

Practice Address

105 HALL ST UNIT A
Traverse City, MI 49684

Phone: (231) 965-3762

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1417697095 is the National Provider Identifier for MACKENZIE BREITHAUPT, a Peer Specialist provider located in Traverse City, MI. This NPI was enumerated on March 31, 2022.
MACKENZIE BREITHAUPT practices at 105 HALL ST UNIT A, Traverse City, MI 49684.

Quick Facts

NPI
1417697095
Type
Individual
Enumerated
Mar 31, 2022
Last Updated
Mar 31, 2022

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