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Amanda Marie Johnston-porter, CRPA-P
Peer Specialist in Waterloo, New York
NPI 1164071882

Amanda Marie Johnston-porter is a Peer Specialist based in Waterloo, NY. Amanda Marie Johnston-porter practices in Waterloo, NY and has the professional credentials of CRPA-P. The NPI Number for Amanda Marie Johnston-porter is 1164071882 and holds a License No. (New York).

The current practice location address for Amanda Marie Johnston-porter is 31 Thurber Dr, Waterloo, NY and can be reached out via phone at 315-539-1985 and via fax at 315-539-4393.

Location: 31 Thurber Dr, Waterloo, NY, 13165-1708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164071882
Provider Name
Amanda Marie Johnston-porter
Credential
CRPA-P
Provider Entity Type
Individual
Gender
Female
Address
31 Thurber Dr, Waterloo, NY, 13165-1708
Phone Number
315-539-1985
Fax Number
315-539-4393
Provider Enumeration Date
09/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
31 Thurber Dr
City
Waterloo
State
New York
Zip
13165-1665
Phone Number
315-539-1985
Fax Number
315-539-4393
person
Provider Business Mailing Address Details
Address
31 Thurber Dr
City
Waterloo
State
New York
Zip
13165-1665
Phone Number
315-539-1985
Fax Number
315-539-4393
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
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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