Misty Maddera is a Peer Specialist based in Bluffdale, UT. Misty Maddera practices in Bluffdale, UT. The NPI Number for Misty Maddera is 1770128597 and holds a License No. (Utah).
The current practice location address for Misty Maddera is 15257 S Scenic Crest Cir, Bluffdale, UT and can be reached out via phone at 801-577-3086.
Location: 15257 S Scenic Crest Cir, Bluffdale, UT, 84065-5076
Provider Profile Details
NPI Number
1770128597
Provider Name
Misty Maddera
Credential
Provider Entity Type
Individual
Gender
Female
Address
15257 S Scenic Crest Cir, Bluffdale, UT, 84065-5076
Phone Number
801-577-3086
Fax Number
Provider Enumeration Date
11/15/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
15257 S Scenic Crest Cir
City
State
Zip
84065-5076
Phone Number
801-577-3086
Fax Number
Provider Business Mailing Address Details
Address
15257 S Scenic Crest Cir
City
State
Zip
84065-5076
Phone Number
801-577-3086
Fax Number
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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