Individual provider · Type 1 NPI

John Ryan Bohannan

Peer Specialist · Boulder, CO

NPI number 1780430520 Active

Practice location

1000 Alpine Ave
Boulder, CO 80304-3406

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 1780430520

John Ryan Bohannan's National Provider Identifier is 1780430520, issued on Apr 24, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Boulder, CO. The record was last updated on Apr 24, 2024.