Individual provider · Type 1 NPI
Colton Ray Johnson
Peer Specialist · Nowata, OK
NPI number
1891389250
Active
Practice location
325 S Ash St.
Nowata, OK 74048-4628
Fax (918) 999-0111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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 1891389250
Colton Ray Johnson's National Provider Identifier is 1891389250, issued on Feb 25, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Nowata, OK. The record was last updated on Mar 30, 2021.