Individual provider · Type 1 NPI

Ethan Tanner

Peer Specialist · Layton, UT

NPI number 1861243677 Active

Practice location

934 S Main St
Layton, UT 84041-7135

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Peer Specialist Primary 175T00000XNone listed
Case Manager/Care Coordinator 171M00000XNone 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 1861243677

Ethan Tanner's National Provider Identifier is 1861243677, issued on Mar 29, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Layton, UT. The record was last updated on May 6, 2025.