Individual provider · Type 1 NPI

Gabriel Blake Johnson

Peer Specialist · Tahlequah, OK

NPI number 1962271155 Active

About NPI 1962271155

Gabriel Blake Johnson's National Provider Identifier is 1962271155, issued on Dec 28, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tahlequah, OK. The record was last updated on Dec 28, 2023.