Individual provider · Type 1 NPI

Rispah Otieno

Peer Specialist · Tooele, UT

NPI number 1063012409 Active

Practice location

100 S 1000 W
Tooele, UT 84074-4010

Call (888) 949-4864 Map

Mailing address

4460 S Highland Dr
Millcreek, UT 84124-3543

Other practice locations

  • 515 S 700 E Ste 2A, Salt Lake City, UT 84102-2855 · (801) 935-4946

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
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 1063012409

Rispah Otieno's National Provider Identifier is 1063012409, issued on Oct 26, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tooele, UT. The record was last updated on Dec 28, 2022.