Michael Johnson is a Peer Specialist based in Cortland, NY. Michael Johnson practices in Cortland, NY. The NPI Number for Michael Johnson is 1295354496 and holds a License No. (New York).
The current practice location address for Michael Johnson is 165 Main St, Cortland, NY and can be reached out via phone at 607-753-0234.
Location: 165 Main St, Cortland, NY, 13045-3049
Provider Profile Details
NPI Number
1295354496
Provider Name
Michael Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
165 Main St, Cortland, NY, 13045-3049
Phone Number
607-753-0234
Fax Number
Provider Enumeration Date
04/09/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
165 Main St
City
State
Zip
13045-3049
Phone Number
607-753-0234
Fax Number
Provider Business Mailing Address Details
Address
165 Main St
City
State
Zip
13045-3049
Phone Number
607-753-0234
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(New York)
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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