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Kim Katherine Stephens
Peer Specialist in Salt Lake City, Utah
NPI 1821698713

Kim Katherine Stephens is a Peer Specialist based in Salt Lake City, UT. Kim Katherine Stephens practices in Salt Lake City, UT. The NPI Number for Kim Katherine Stephens is 1821698713 and holds a License No. (Utah).

The current practice location address for Kim Katherine Stephens 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
1821698713
Provider Name
Kim Katherine Stephens
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
10/29/2020
Last Update Date
03/10/2024
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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