Individual provider · Type 1 NPI

Macianne Thom

Peer Specialist · West Valley City, UT

NPI number 1902682008 Active

Practice location

2655 S Lake Erie Dr
West Valley City, UT 84120-7350

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 1902682008

Macianne Thom's National Provider Identifier is 1902682008, issued on Sep 5, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in West Valley City, UT. The record was last updated on Sep 5, 2023.