Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Kristen Jill Gannon, PEERRECOVERYCOACH

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1518854470

MS. Kristen Jill Gannon, PEERRECOVERYCOACH is an Addiction (Substance Use Disorder) Counselor in Traverse City, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

4230 Copper Ridge Dr Bldg E
Traverse City, MI 49684-7256
Phone: (231) 935-6739
Fax: (231) 935-6739
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (MI)

Record details

NPI number1518854470
Entity typeIndividual (Type 1)
GenderFemale
Credentials PEERRECOVERYCOACH
Sole proprietorYes
NPI enumeratedJune 23, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

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