Individual provider · Type 1 NPI

Stephanie Deherrera

Peer Specialist · Tooele, UT

NPI number 1316773286 Active

Practice location

100 S 1000 W
Tooele, UT 84074-4010

Mailing address

3725 W 4100 S Ste 201
West Valley City, UT 84120-5427

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XF24-114939 (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 1316773286

Stephanie Deherrera's National Provider Identifier is 1316773286, issued on Sep 9, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tooele, UT. The record was last updated on Sep 9, 2024.