Pedro Rosas is a Peer Specialist based in Provo, UT. Pedro Rosas practices in Provo, UT. The NPI Number for Pedro Rosas is 1083361125 and holds a License No. (Utah).
The current practice location address for Pedro Rosas is 750 N Freedom Blvd, Provo, UT and can be reached out via phone at 801-373-4760.
Location: 750 N Freedom Blvd, Provo, UT, 84601-1677
Provider Profile Details
NPI Number
1083361125
Provider Name
Pedro Rosas
Credential
Provider Entity Type
Individual
Gender
Male
Address
750 N Freedom Blvd, Provo, UT, 84601-1677
Phone Number
801-373-4760
Fax Number
Provider Enumeration Date
03/08/2022
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1991 | 05 | UT |
Provider Business Practice Location Address Details
Address
750 N Freedom Blvd
City
State
Zip
84601-1677
Phone Number
801-373-4760
Fax Number
Provider Business Mailing Address Details
Address
750 N Freedom Blvd
City
State
Zip
84601-1677
Phone Number
801-373-4760
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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