Individual provider · Type 1 NPI
Tracy Johnson
Peer Specialist · Alderson, WV
NPI number
1376463588
Active
Practice location
420 Holliday Run Rd
Alderson, WV 24910-9263
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.
Another provider at this address
About NPI 1376463588
Tracy Johnson's National Provider Identifier is 1376463588, issued on Jul 17, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Alderson, WV. The record was last updated on Jul 17, 2026.