Michael Ryan Campbell
Michael Ryan Campbell is a Peer Specialist in Provo, Utah. Licensed in Utah. Registered with an NPI since 2024.
- Licensed in
- UT
- In the registry since
- 2024
Practice location Address checks out
750 N Freedom BlvdProvo, UT 84601-1677
Phone: (801) 373-4760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence F24-116138 (UT) |
|---|
Record details
| NPI number | 1164255774 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 21, 2024 |
| Last updated in NPPES | February 13, 2025 |
| Certification date | February 13, 2025 |
| Mailing address | 750 N Freedom Blvd, Provo, UT 84601-1677 |
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Misty Lynn Boozenny
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Anne Shirley Brown
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750 N Freedom Blvd, Provo, UT 84601-1677 · (801) 373-4760
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Derek Benjamin Carmack, CPSS, CSW
750 N Freedom Blvd, Provo, UT 84601-1677 · (801) 373-4760
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Kori Caspersen
750 N Freedom Blvd, Provo, UT 84601-1677 · (801) 373-4760