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Ennio D Cardozo, CPSS
Peer Specialist in South Salt Lake, Utah
NPI 1609584929

Ennio D Cardozo is a Peer Specialist based in South Salt Lake, UT. Ennio D Cardozo practices in South Salt Lake, UT and has the professional credentials of CPSS. The NPI Number for Ennio D Cardozo is 1609584929 and holds a License No. 1897 (Utah).

The current practice location address for Ennio D Cardozo is 3269 S Main St Ste 230, South Salt Lake, UT and can be reached out via phone at 801-935-4447.

Location: 3269 S Main St Ste 230, South Salt Lake, UT, 84115-3769
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609584929
Provider Name
Ennio D Cardozo
Credential
CPSS
Provider Entity Type
Individual
Gender
Male
Address
3269 S Main St Ste 230, South Salt Lake, UT, 84115-3769
Phone Number
801-935-4447
Fax Number
Provider Enumeration Date
11/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3269 S Main St Ste 230
City
South Salt Lake
State
Utah
Zip
84115-3769
Phone Number
801-935-4447
Fax Number
person
Provider Business Mailing Address Details
Address
3269 S Main St Ste 230
City
South Salt Lake
State
Utah
Zip
84115-3769
Phone Number
801-935-4447
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
1897 (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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