person
John Carlos Gonzales
Peer Specialist in Cottonwood Heights, Utah
NPI 1699278366

John Carlos Gonzales is a Peer Specialist based in Cottonwood Heights, UT. John Carlos Gonzales practices in Cottonwood Heights, UT. The NPI Number for John Carlos Gonzales is 1699278366 and holds a License No. (Utah).

The current practice location address for John Carlos Gonzales is 7873 S Chadbourne Dr, Cottonwood Heights, UT and can be reached out via phone at 801-244-3280.

Location: 7873 S Chadbourne Dr, Cottonwood Heights, UT, 84121-5806
person
Provider Profile Details
NPI Number
1699278366
Provider Name
John Carlos Gonzales
Credential
Provider Entity Type
Individual
Gender
Male
Address
7873 S Chadbourne Dr, Cottonwood Heights, UT, 84121-5806
Phone Number
801-244-3280
Fax Number
Provider Enumeration Date
03/08/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R58639857 01 OR BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
7873 S Chadbourne Dr
City
State
Zip
84121-5806
Phone Number
801-244-3280
Fax Number
person
Provider Business Mailing Address Details
Address
7873 S Chadbourne Dr
City
State
Zip
84121-5806
Phone Number
801-244-3280
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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