Bobby Allen Johnson - Ponca City, OK

Bobby Allen Johnson

Peer Specialist in Ponca City, Oklahoma

NPI 1194499186

Bobby Allen Johnson is a Peer Specialist based in Ponca City, OK. Bobby Allen Johnson practices in Ponca City, OK. The NPI Number for Bobby Allen Johnson is 1194499186 and holds a License No. (Oklahoma).

The current practice location address for Bobby Allen Johnson is 2225 N Union St, Ponca City, OK and can be reached out via phone at 580-749-5056.

Location: 2225 N Union St, Ponca City, OK, 74601-1555

NPI Number

1194499186

Provider Name

Bobby Allen Johnson

Credential

Provider Entity Type

Individual

Gender

Male

Address

2225 N Union St, Ponca City, OK, 74601-1555

Phone Number

580-749-5056

Fax Number

Provider Enumeration Date

08/04/2021

Last Update Date

03/10/2024

Address

2225 N Union St

City

Ponca City

State

Oklahoma

Zip

74601-1555

Phone Number

580-749-5056

Fax Number

Address

2225 N Union St

City

Ponca City

State

Oklahoma

Zip

74601-1555

Phone Number

580-749-5056

Fax Number

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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