Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD JACK CLARK, PEER SUPPORT
ActiveRICHARD JACK CLARK, PEER SUPPORT is a Peer Specialist healthcare provider located in SALT LAKE CITY, Utah. NPI 1316393283 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1316393283
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2016 (10.225347454 yrs)
- Last Updated
- May 11, 2016
- License
-
#518 (UT)
Practice Information
- Address
-
68 S 600 ESALT LAKE CITY, UT, 841021007Browse UT providers · Browse ZIP 84102
- Phone
- 8014283244
- 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 |
| DAVID BECKSTEAD | — | 1558711770 |
| MARY THIBODEAU | — | 1407301633 |
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.