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Edward Eugene Broyles, CPSS
Peer Specialist in Salt Lake City, Utah
NPI 1548942303

Edward Eugene Broyles is a Peer Specialist based in Salt Lake City, UT. Edward Eugene Broyles practices in Salt Lake City, UT and has the professional credentials of CPSS. The NPI Number for Edward Eugene Broyles is 1548942303 and holds a License No. 1553 (Utah).

The current practice location address for Edward Eugene Broyles is 2487 S 700 E, Salt Lake City, UT and can be reached out via phone at 801-554-4477 and via fax at 385-229-4233.

Location: 2487 S 700 E, Salt Lake City, UT, 84106-1722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548942303
Provider Name
Edward Eugene Broyles
Credential
CPSS
Provider Entity Type
Individual
Gender
Male
Address
2487 S 700 E, Salt Lake City, UT, 84106-1722
Phone Number
801-554-4477
Fax Number
385-229-4233
Provider Enumeration Date
08/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2487 S 700 E
City
Salt Lake City
State
Utah
Zip
84106-1722
Phone Number
801-554-4477
Fax Number
385-229-4233
person
Provider Business Mailing Address Details
Address
2487 S 700 E
City
Salt Lake City
State
Utah
Zip
84106-1722
Phone Number
801-554-4477
Fax Number
385-229-4233
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
1553 (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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