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Mrs. Jolynne Marie Lucero
Peer Specialist in Salt Lake City, Utah
NPI 1013215003

Jolynne Marie Lucero is a Peer Specialist based in West Valley City, UT. Jolynne Marie Lucero practices in Salt Lake City, UT. The NPI Number for Jolynne Marie Lucero is 1013215003 and holds a License No. F23-108380 (Utah).

The current practice location address for Jolynne Marie Lucero is 1020 S Main St, Salt Lake City, UT and can be reached out via phone at 801-539-7000.

Location: 1020 S Main St, Salt Lake City, UT, 84120-5427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013215003
Provider Name
Jolynne Marie Lucero
Credential
Provider Entity Type
Individual
Gender
Female
Address
1020 S Main St, Salt Lake City, UT, 84120-5427
Phone Number
801-539-7000
Fax Number
Provider Enumeration Date
03/01/2011
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
1020 S Main St
City
Salt Lake City
State
Utah
Zip
84101-3176
Phone Number
801-539-7000
Fax Number
person
Provider Business Mailing Address Details
Address
1020 S Main St
City
Salt Lake City
State
Utah
Zip
84101-3176
Phone Number
801-539-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
F23-108380 (Utah)
Definition
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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