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Macianne Thom
Peer Specialist in West Valley City, Utah
NPI 1902682008

Macianne Thom is a Peer Specialist based in West Valley City, UT. Macianne Thom practices in West Valley City, UT. The NPI Number for Macianne Thom is 1902682008 and holds a License No. (Utah).

The current practice location address for Macianne Thom is 2655 S Lake Erie Dr, West Valley City, UT and can be reached out via phone at 385-441-4900.

Location: 2655 S Lake Erie Dr, West Valley City, UT, 84120-7350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902682008
Provider Name
Macianne Thom
Credential
Provider Entity Type
Individual
Gender
Female
Address
2655 S Lake Erie Dr, West Valley City, UT, 84120-7350
Phone Number
385-441-4900
Fax Number
Provider Enumeration Date
09/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2655 S Lake Erie Dr
City
West Valley City
State
Utah
Zip
84120-7350
Phone Number
385-441-4900
Fax Number
person
Provider Business Mailing Address Details
Address
2655 S Lake Erie Dr
City
West Valley City
State
Utah
Zip
84120-7350
Phone Number
385-441-4900
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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