Individual provider · Type 1 NPI

John Ralph Wallingford Jr.

Peer Specialist · Wasilla, AK

NPI number 1386433423 Active

Practice location

1419 S Kittiwake St
Wasilla, AK 99623-9302

Call (907) 313-1333 Map

Mailing address

591 S Knik Goose Bay Rd
Wasilla, AK 99654-8062

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 1386433423

John Ralph Wallingford Jr.'s National Provider Identifier is 1386433423, issued on May 5, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Wasilla, AK. The record was last updated on May 5, 2025.