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Raymond Donald Brock, CPSS
Peer Specialist in Ogden, Utah
NPI 1477217768

Raymond Donald Brock is a Peer Specialist based in Ogden, UT. Raymond Donald Brock practices in Ogden, UT and has the professional credentials of CPSS. The NPI Number for Raymond Donald Brock is 1477217768 and holds a License No. (Utah).

The current practice location address for Raymond Donald Brock is 1708 E 5550 S Ste 23, Ogden, UT and can be reached out via phone at 801-475-4673.

Location: 1708 E 5550 S Ste 23, Ogden, UT, 84403-4308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477217768
Provider Name
Raymond Donald Brock
Credential
CPSS
Provider Entity Type
Individual
Gender
Male
Address
1708 E 5550 S Ste 23, Ogden, UT, 84403-4308
Phone Number
801-475-4673
Fax Number
Provider Enumeration Date
10/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1708 E 5550 S Ste 23
City
Ogden
State
Utah
Zip
84403-4308
Phone Number
801-475-4673
Fax Number
person
Provider Business Mailing Address Details
Address
1708 E 5550 S Ste 23
City
Ogden
State
Utah
Zip
84403-4308
Phone Number
801-475-4673
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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