Individual provider · Type 1 NPI

Latia Johnson

Peer Specialist · Portland, OR

NPI number 1275076754 Active

Practice location

14600 NW Cornell Rd
Portland, OR 97229

Call (503) 645-3581 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Peer Specialist Primary 175T00000XNone listed

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 1275076754

Latia Johnson's National Provider Identifier is 1275076754, issued on Dec 1, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on May 23, 2018.