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Eustolia Cordova, CPSS
Peer Specialist in South Salt Lake, Utah
NPI 1083289516

Eustolia Cordova is a Peer Specialist based in South Salt Lake, UT. Eustolia Cordova practices in South Salt Lake, UT and has the professional credentials of CPSS. The NPI Number for Eustolia Cordova is 1083289516 and holds a License No. (Utah).

The current practice location address for Eustolia Cordova is 3269 S Main St Ste 230, South Salt Lake, UT and can be reached out via phone at 801-935-4447.

Location: 3269 S Main St Ste 230, South Salt Lake, UT, 84115-3769
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083289516
Provider Name
Eustolia Cordova
Credential
CPSS
Provider Entity Type
Individual
Gender
Female
Address
3269 S Main St Ste 230, South Salt Lake, UT, 84115-3769
Phone Number
801-935-4447
Fax Number
Provider Enumeration Date
05/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3269 S Main St Ste 230
City
South Salt Lake
State
Utah
Zip
84115-3769
Phone Number
801-935-4447
Fax Number
person
Provider Business Mailing Address Details
Address
3269 S Main St Ste 230
City
South Salt Lake
State
Utah
Zip
84115-3769
Phone Number
801-935-4447
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(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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