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Lisa Utterback
Peer Specialist in Deer Park, Texas
NPI 1326732066

Lisa Utterback is a Peer Specialist based in Deer Park, TX. Lisa Utterback practices in Deer Park, TX. The NPI Number for Lisa Utterback is 1326732066 and holds a License No. 1783-0523 (Texas).

The current practice location address for Lisa Utterback is 4525 Glenwood Ave, Deer Park, TX and can be reached out via phone at 281-476-0088.

Location: 4525 Glenwood Ave, Deer Park, TX, 77536-7901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326732066
Provider Name
Lisa Utterback
Credential
Provider Entity Type
Individual
Gender
Female
Address
4525 Glenwood Ave, Deer Park, TX, 77536-7901
Phone Number
281-476-0088
Fax Number
Provider Enumeration Date
06/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4525 Glenwood Ave
City
Deer Park
State
Texas
Zip
77536-7901
Phone Number
281-476-0088
Fax Number
person
Provider Business Mailing Address Details
Address
4525 Glenwood Ave
City
Deer Park
State
Texas
Zip
77536-7901
Phone Number
281-476-0088
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
1783-0523 (Texas)
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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