Individual provider · Type 1 NPI

Gary Dalevon Johnson

Peer Specialist · Cleveland, OH

NPI number 1215786140 Active

Practice location

3214 Prospect Ave E
Cleveland, OH 44115-2614

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XAPS.005027

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 1215786140

Gary Dalevon Johnson's National Provider Identifier is 1215786140, issued on May 14, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Cleveland, OH. The record was last updated on May 14, 2024.