Individual provider · Type 1 NPI

Zackery Chad Larsen, CPSS

Peer Specialist · Salt Lake City, UT

NPI number 1124909452 Active

Practice location

1336 S 1100 E
Salt Lake City, UT 84105-2421

Call (385) 246-2522 Map

Fax (801) 810-1343

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 1124909452

Zackery Chad Larsen, CPSS's National Provider Identifier is 1124909452, issued on Sep 11, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 11, 2025.