Individual provider · Type 1 NPI

Tyler Johnson, PEER SUPPORT

Peer Specialist · Dayton, OH

NPI number 1790443331 Active

Practice location

4977 Northcutt Pl
Dayton, OH 45414-3839

Mailing address

812 N Main St
Malta, OH 43758-9019

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XAPS005364 (OH)

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 1790443331

Tyler Johnson, PEER SUPPORT's National Provider Identifier is 1790443331, issued on Dec 1, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Dayton, OH. The record was last updated on Sep 3, 2024.