Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTICE KASSIDY WALLACE
ActiveJUSTICE KASSIDY WALLACE is a Behavioral Health Technician healthcare provider located in SALT LAKE CITY, Utah. NPI 1467173765 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health Technician · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1467173765
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 6, 2022 (3.9655599086741 yrs)
- Last Updated
- Sep 6, 2022
Practice Information
- Address
-
344 E 100 S STE 301SALT LAKE CITY, UT, 841111727Browse UT providers · Browse ZIP 84111
- Phone
- 8014284257
- Primary Specialty
-
Behavioral Health Technician
374700000X
Other Behavioral Health Technician Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| KATHRYN JENSON | — | 1144624180 |
| PHILIP FAIR | — | 1093241747 |
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.