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Lisa Thielen Bennett
Peer Specialist in Salt Lake City, Utah
NPI 1760152748

Lisa Thielen Bennett is a Peer Specialist based in Salt Lake City, UT. Lisa Thielen Bennett practices in Salt Lake City, UT. The NPI Number for Lisa Thielen Bennett is 1760152748 and holds a License No. (Utah).

The current practice location address for Lisa Thielen Bennett is 124 S 400 E Ste 335, Salt Lake City, UT and can be reached out via phone at 801-443-2595.

Location: 124 S 400 E Ste 335, Salt Lake City, UT, 84111-5316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760152748
Provider Name
Lisa Thielen Bennett
Credential
Provider Entity Type
Individual
Gender
Female
Address
124 S 400 E Ste 335, Salt Lake City, UT, 84111-5316
Phone Number
801-443-2595
Fax Number
Provider Enumeration Date
09/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
124 S 400 E Ste 335
City
Salt Lake City
State
Utah
Zip
84111-5316
Phone Number
801-443-2595
Fax Number
person
Provider Business Mailing Address Details
Address
124 S 400 E Ste 335
City
Salt Lake City
State
Utah
Zip
84111-5316
Phone Number
801-443-2595
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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