Individual provider · Type 1 NPI
Sean Gilliam
Peer Specialist · Ogden, UT
NPI number
1114880150
Active
Practice location
2433 Adams Ave Apt 328, APT.1302
Ogden, UT 84401-2689
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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 1114880150
Sean Gilliam's National Provider Identifier is 1114880150, issued on Dec 5, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ogden, UT. The record was last updated on Dec 5, 2025.