Individual provider · Type 1 NPI
Daniel M. Pettyjohn
Peer Specialist · Big Horn, WY
NPI number
1295548147
Active
Practice location
546 S 2nd St
Big Horn, WY 82833
Mailing address
PO Box 492
Big Horn, WY 82833-0492
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.
About NPI 1295548147
Daniel M. Pettyjohn's National Provider Identifier is 1295548147, issued on Jan 27, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Big Horn, WY. The record was last updated on Jan 27, 2025.