Richard Jack Clark, PEER SUPPORT is a peer specialist in Salt Lake City, UT. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Richard Jack Clark, PEER SUPPORT NPI is 1316393283. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
68 S 600 E
SALT LAKE CITY, UT
ZIP 84102-007
Phone: (801) 428-3244
The enumeration date for this NPI number is 5/10/2016 and was last updated on 5/11/2016.