Individual provider · Type 1 NPI

Johnny Lee Jordan

Peer Specialist · St. Joseph, MI

NPI number 1891359634 Active

Practice location

4032 M 139 Ste 108
St. Joseph, MI 49085-8664

Call (269) 556-1526 Map

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 1891359634

Johnny Lee Jordan's National Provider Identifier is 1891359634, issued on Apr 26, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in St. Joseph, MI. The record was last updated on Apr 26, 2019.