Latia Johnson is a Peer Specialist based in Portland, OR. Latia Johnson practices in Portland, OR. The NPI Number for Latia Johnson is 1275076754 and holds a License No. (Oregon).
The current practice location address for Latia Johnson is 14600 Nw Cornell Rd, Portland, OR and can be reached out via phone at 503-645-3581.
Location: 14600 Nw Cornell Rd, Portland, OR, 97207-8459
Provider Profile Details
NPI Number
1275076754
Provider Name
Latia Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
14600 Nw Cornell Rd, Portland, OR, 97207-8459
Phone Number
503-645-3581
Fax Number
Provider Enumeration Date
12/01/2016
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
14600 Nw Cornell Rd
City
State
Zip
97229
Phone Number
503-645-3581
Fax Number
Provider Business Mailing Address Details
Address
14600 Nw Cornell Rd
City
State
Zip
97229
Phone Number
503-645-3581
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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