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Alexa Johnson
Peer Specialist in Wagoner, Oklahoma
NPI 1225710635

Alexa Johnson is a Peer Specialist based in Wagoner, OK. Alexa Johnson practices in Wagoner, OK. The NPI Number for Alexa Johnson is 1225710635 and holds a License No. (Oklahoma).

The current practice location address for Alexa Johnson is 109 S Harrill Ave, Wagoner, OK and can be reached out via phone at 918-485-0242 and via fax at 918-485-0204.

Location: 109 S Harrill Ave, Wagoner, OK, 74467-5317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225710635
Provider Name
Alexa Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
109 S Harrill Ave, Wagoner, OK, 74467-5317
Phone Number
918-485-0242
Fax Number
918-485-0204
Provider Enumeration Date
08/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
109 S Harrill Ave
City
Wagoner
State
Oklahoma
Zip
74467-5317
Phone Number
918-485-0242
Fax Number
918-485-0204
person
Provider Business Mailing Address Details
Address
109 S Harrill Ave
City
Wagoner
State
Oklahoma
Zip
74467-5317
Phone Number
918-485-0242
Fax Number
918-485-0204
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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