Richard Jack Clark, PEERSUPPORT
Richard Jack Clark, PEERSUPPORT is a Peer Specialist in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2016.
- Licensed in
- UT
- In the registry since
- 2016
Practice location Address checks out
68 S 600 ESalt Lake City, UT 84102-1007
Phone: (801) 428-3244
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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 #518 (UT) |
|---|
Record details
| NPI number | 1316393283 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PEERSUPPORT |
| Sole proprietor | No |
| NPI enumerated | May 10, 2016 |
| Last updated in NPPES | May 11, 2016 |
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