Individual provider · Type 1 NPI
Mandy Lynn Johnson, PEER SUPPORT SPECIAL
Peer Specialist · Pleasant Hill, OR
NPI number
1780485094
Active
Practice location
36542 Highway 58
Pleasant Hill, OR 97455-9689
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 113576 (OR) |
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 1780485094
Mandy Lynn Johnson, PEER SUPPORT SPECIAL's National Provider Identifier is 1780485094, issued on Mar 22, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pleasant Hill, OR. The record was last updated on Mar 22, 2025.