Individual provider · Type 1 NPI

Ennio D. Cardozo, CPSS

Peer Specialist · South Salt Lake, UT

NPI number 1609584929 Active

Practice location

3269 S Main St Ste 230
South Salt Lake, UT 84115-3769

Mailing address

838 N Sir Michael Dr
Salt Lake City, UT 84116-1545

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X1897 (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 1609584929

Ennio D. Cardozo, CPSS's National Provider Identifier is 1609584929, issued on Nov 7, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in South Salt Lake, UT. The record was last updated on Jun 18, 2024.