Individual provider · Type 1 NPI

Johnny Blackmon

Peer Specialist · Clearfield, UT

NPI number 1346002482 Active

Practice location

1550 S 1000 E
Clearfield, UT 84015-1646

Call (385) 456-6275 Map

Mailing address

2053 S 800 E
Clearfield, UT 84015-6244

Specialties and licenses

TaxonomyCodeLicense
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 1346002482

Johnny Blackmon's National Provider Identifier is 1346002482, issued on Jan 24, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Clearfield, UT. The record was last updated on Jan 24, 2024.