Individual provider · Type 1 NPI

Richard Jack Clark, PEER SUPPORT

Peer Specialist · Salt Lake City, UT

NPI number 1316393283 Active

Practice location

68 S 600 E
Salt Lake City, UT 84102-1007

Call (801) 428-3244 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X#518 (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 1316393283

Richard Jack Clark, PEER SUPPORT's National Provider Identifier is 1316393283, issued on May 10, 2016. 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 May 11, 2016.