Individual provider · Type 1 NPI

Kody Leo Dalley

Peer Specialist · Provo, UT

NPI number 1275415739 Active

Practice location

1175 E 300 N
Provo, UT 84606

Call (801) 852-4510 Map

Mailing address

750 N Freedom Blvd
Provo, UT 84601-1677

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X1955 (UT)

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 1275415739

Kody Leo Dalley's National Provider Identifier is 1275415739, issued on Jul 24, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Provo, UT. The record was last updated on Jul 24, 2025.