Individual provider · Type 1 NPI

Clanisha Johnson

Peer Specialist · Pomona, CA

NPI number 1659269173 Active

Practice location

2008 N Garey Ave
Pomona, CA 91767-2722

Fax (909) 865-9281

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-VCNQJL (CA)

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 1659269173

Clanisha Johnson's National Provider Identifier is 1659269173, issued on Jun 24, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pomona, CA. The record was last updated on Jun 24, 2025.