Individual provider · Type 1 NPI

Marshall Wallace Johnson

Peer Specialist · Klamath Falls, OR

NPI number 1982259669 Active

Practice location

2210 N Eldorado Ave
Klamath Falls, OR 97601-6418

Call (541) 883-1030 Map

Fax (541) 884-2338

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed
Case Manager/Care Coordinator 171M00000XNone 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 1982259669

Marshall Wallace Johnson's National Provider Identifier is 1982259669, issued on Aug 8, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Klamath Falls, OR. The record was last updated on Aug 11, 2020.