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

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 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.