Alexis Kirah Sullivan - Provo, UT

Alexis Kirah Sullivan

Peer Specialist in Provo, Utah

NPI 1871181248

Alexis Kirah Sullivan is a Peer Specialist based in Provo, UT. Alexis Kirah Sullivan practices in Provo, UT. The NPI Number for Alexis Kirah Sullivan is 1871181248 and holds a License No. (Utah).

The current practice location address for Alexis Kirah Sullivan is 750 N Freedom Blvd, Provo, UT and can be reached out via phone at 801-373-4760 and via fax at 801-373-0639.

Location: 750 N Freedom Blvd, Provo, UT, 84601-1677

NPI Number

1871181248

Provider Name

Alexis Kirah Sullivan

Credential

Provider Entity Type

Individual

Gender

Female

Address

750 N Freedom Blvd, Provo, UT, 84601-1677

Phone Number

801-373-4760

Fax Number

801-373-0639

Provider Enumeration Date

01/01/2021

Last Update Date

03/10/2024

Address

750 N Freedom Blvd

City

Provo

State

Utah

Zip

84601-1677

Phone Number

801-373-4760

Fax Number

801-373-0639

Address

750 N Freedom Blvd

City

Provo

State

Utah

Zip

84601-1677

Phone Number

801-373-4760

Fax Number

801-373-0639

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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