Individual provider · Type 1 NPI

Misty Lynn Boozenny

Peer Specialist · Provo, UT

NPI number 1477027233 Active

Practice location

750 N Freedom Blvd
Provo, UT 84601-1677

Call (801) 373-4760 Map

Fax (801) 373-0639

Mailing address

1338 S 2320 E
Spanish Fork, UT 84660-6419

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X952 (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 1477027233

Misty Lynn Boozenny's National Provider Identifier is 1477027233, issued on Jan 15, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Provo, UT. The record was last updated on Jan 15, 2019.