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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ZACKERY CHAD LARSEN, CPSS

Active Sole Proprietor

ZACKERY CHAD LARSEN, CPSS is a Peer Specialist healthcare provider located in SALT LAKE CITY, Utah. NPI 1124909452 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · SALT LAKE CITY, UT

Registration Details

NPI Number
1124909452
Provider Type
Individual
Gender
Male
NPI Issued
Sep 11, 2025 (0.8820244638541 yrs)
Last Updated
Sep 11, 2025
Sole Proprietor
Yes

Practice Information

Address
1336 S 1100 E
SALT LAKE CITY, UT, 841052421
Browse UT providers · Browse ZIP 84105
Phone
3852462522
Fax
8018101343
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in SALT LAKE CITY, UT

Name Credential NPI
MRS. JOLYNNE MARIE LUCERO 1013215003
MS. KATHARINE DALTON 1245656784
DIXY ESCALANTE 1326458662
DANIEL DAVIDSON 1619335130
RICHARD JACK CLARK PEER SUPPORT 1316393283
DAVID BECKSTEAD 1558711770
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.