Individual provider · Type 1 NPI

Mary Thibodeau

Peer Specialist · Salt Lake City, UT

NPI number 1407301633 Active

Practice location

344 E 100 S, Ste 301
Salt Lake City, UT 84111-1700

Call (801) 322-4257 Map

Fax (801) 478-2686

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 1407301633

Mary Thibodeau's National Provider Identifier is 1407301633, issued on Aug 17, 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 Aug 17, 2016.