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Geneal Herrera
Peer Specialist in Salt Lake City, Utah
NPI 1174009005

Geneal Herrera is a Peer Specialist based in Salt Lake City, UT. Geneal Herrera practices in Salt Lake City, UT. The NPI Number for Geneal Herrera is 1174009005 and holds a License No. (Utah).

The current practice location address for Geneal Herrera is 4460 S Highland Dr Ste 210, Salt Lake City, UT and can be reached out via phone at 888-949-4864.

Location: 4460 S Highland Dr Ste 210, Salt Lake City, UT, 84124-3550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174009005
Provider Name
Geneal Herrera
Credential
Provider Entity Type
Individual
Gender
Female
Address
4460 S Highland Dr Ste 210, Salt Lake City, UT, 84124-3550
Phone Number
888-949-4864
Fax Number
Provider Enumeration Date
07/13/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
260022408 01 UT MEDICARE RAILROAD
8760003008007 05 UT
000055266 01 UT MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
4460 S Highland Dr Ste 210
City
Salt Lake City
State
Utah
Zip
84124-3550
Phone Number
888-949-4864
Fax Number
person
Provider Business Mailing Address Details
Address
4460 S Highland Dr Ste 210
City
Salt Lake City
State
Utah
Zip
84124-3550
Phone Number
888-949-4864
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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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