Individual provider · Type 1 NPI

Mary Martine Serawop

Peer Specialist · Salt Lake City, UT

NPI number 1861381402 Active

Practice location

117 W 400 S
Salt Lake City, UT 84101-1916

Call (801) 428-4257 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X1861381402 (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 1861381402

Mary Martine Serawop's National Provider Identifier is 1861381402, issued on Jun 30, 2025. 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 Jul 22, 2026.