Individual provider · Type 1 NPI

James Rockefeller

Peer Specialist · West Jordan, UT

NPI number 1053907865 Active

Practice location

7625 S 3200 W Ste 2&4
West Jordan, UT 84084-2800

Mailing address

1203 E 10600 S
Sandy, UT 84094-6103

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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.

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About NPI 1053907865

James Rockefeller's National Provider Identifier is 1053907865, issued on Dec 16, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in West Jordan, UT. The record was last updated on Dec 16, 2020.