person
Antoine Johnson
Peer Specialist in Philadelphia, Pennsylvania
NPI 1316545379

Antoine Johnson is a Peer Specialist based in Philadelphia, PA. Antoine Johnson practices in Philadelphia, PA. The NPI Number for Antoine Johnson is 1316545379 and holds a License No. 852373 (Pennsylvania).

The current practice location address for Antoine Johnson is 846 N 63Rd St, Philadelphia, PA and can be reached out via phone at 121-538-8533. You can also correspond with Antoine Johnson through the mailing address at 846 N 63RD ST, PHILADELPHIA, PA - 19151-3443 (mailing address contact number: 121-538-8533).

Location: 846 N 63Rd St, Philadelphia, PA, 19151-3443
person
Provider Profile Details
NPI Number
1316545379
Provider Name
Antoine Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
846 N 63Rd St, Philadelphia, PA, 19151-3443
Phone Number
121-538-8533
Fax Number
Provider Enumeration Date
10/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
846 N 63Rd St
City
State
Zip
19151-3443
Phone Number
121-538-8533
Fax Number
person
Provider Business Mailing Address Details
Address
846 N 63Rd St
City
State
Zip
19151-3443
Phone Number
121-538-8533
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
852373 (Pennsylvania)
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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