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Kaylie A Larsen
Peer Specialist in Salt Lake City, Utah
NPI 1811596885

Kaylie A Larsen is a Peer Specialist based in Salt Lake City, UT. Kaylie A Larsen practices in Salt Lake City, UT. The NPI Number for Kaylie A Larsen is 1811596885 and holds a License No. (Utah).

The current practice location address for Kaylie A Larsen is 230 W 200 S # 142, Salt Lake City, UT and can be reached out via phone at 801-433-2595.

Location: 230 W 200 S # 142, Salt Lake City, UT, 84101-1337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811596885
Provider Name
Kaylie A Larsen
Credential
Provider Entity Type
Individual
Gender
Female
Address
230 W 200 S # 142, Salt Lake City, UT, 84101-1337
Phone Number
801-433-2595
Fax Number
Provider Enumeration Date
10/21/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336336445 05 UT
institution
Provider Business Practice Location Address Details
Address
230 W 200 S # 142
City
Salt Lake City
State
Utah
Zip
84101-1337
Phone Number
801-433-2595
Fax Number
person
Provider Business Mailing Address Details
Address
230 W 200 S # 142
City
Salt Lake City
State
Utah
Zip
84101-1337
Phone Number
801-433-2595
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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