Individual provider · Type 1 NPI
Carl Johnson Jr.
Peer Specialist · Baltimore, MD
NPI number
1124843859
Active
Practice location
116 N Paca St
Baltimore, MD 21201-1714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | 01914-24-A (MD) |
| Peer Specialist Primary | 175T00000X | PR0937 (MD) |
Peer Specialist: 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.
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About NPI 1124843859
Carl Johnson Jr.'s National Provider Identifier is 1124843859, issued on Nov 18, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Baltimore, MD. The record was last updated on Nov 22, 2024.