Individual provider · Type 1 NPI

Olivia Michelle Johntry

Peer Specialist · Bronx, NY

NPI number 1619337011 Active

Practice location

1500 Waters Pl
Bronx, NY 10461-2723

Call (929) 348-4492 Map

Mailing address

3050 White Plains Rd
Bronx, NY 10467-8124

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 1619337011

Olivia Michelle Johntry's National Provider Identifier is 1619337011, issued on Feb 26, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bronx, NY. The record was last updated on Feb 26, 2016.