person
Misty Lynn Boozenny
Peer Specialist in Provo, Utah
NPI 1477027233

Misty Lynn Boozenny is a Peer Specialist based in Spanish Fork, UT. Misty Lynn Boozenny practices in Provo, UT. The NPI Number for Misty Lynn Boozenny is 1477027233 and holds a License No. 952 (Utah).

The current practice location address for Misty Lynn Boozenny is 750 N Freedom Blvd, Provo, UT and can be reached out via phone at 801-373-4760 and via fax at 801-373-0639.

Location: 750 N Freedom Blvd, Provo, UT, 84660-6419
person
Provider Profile Details
NPI Number
1477027233
Provider Name
Misty Lynn Boozenny
Credential
Provider Entity Type
Individual
Gender
Female
Address
750 N Freedom Blvd, Provo, UT, 84660-6419
Phone Number
801-373-4760
Fax Number
801-373-0639
Provider Enumeration Date
01/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 N Freedom Blvd
City
State
Zip
84601-1677
Phone Number
801-373-4760
Fax Number
801-373-0639
person
Provider Business Mailing Address Details
Address
750 N Freedom Blvd
City
State
Zip
84601-1677
Phone Number
801-373-4760
Fax Number
801-373-0639
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
952 (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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