Kaneisha Marie Julian, CPSS

NPI #1386371300 in Orem, Utah

Provider Information

NPI Number: 1386371300
Entity Type: Individual
Name: Kaneisha Marie Julian, CPSS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: CPSS
Enumeration Date: Aug 1, 2022
Last Updated: Aug 1, 2022

Practice Location

Address: 980 E CENTER ST
City: Orem
State: Utah
ZIP Code: 84097-4970
Phone: (385) 208-2844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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