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Johnny Blackmon
Peer Specialist in Clearfield, Utah
NPI 1346002482

Johnny Blackmon is a Peer Specialist based in Clearfield, UT. Johnny Blackmon practices in Clearfield, UT. The NPI Number for Johnny Blackmon is 1346002482 and holds a License No. (Utah).

The current practice location address for Johnny Blackmon is 1550 S 1000 E, Clearfield, UT and can be reached out via phone at 385-456-6275. You can also correspond with Johnny Blackmon through the mailing address at 2053 S 800 E, CLEARFIELD, UT - 84015-6244 (mailing address contact number: ).

Location: 1550 S 1000 E, Clearfield, UT, 84015-6244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346002482
Provider Name
Johnny Blackmon
Credential
Provider Entity Type
Individual
Gender
Male
Address
1550 S 1000 E, Clearfield, UT, 84015-6244
Phone Number
385-456-6275
Fax Number
Provider Enumeration Date
01/24/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1550 S 1000 E
City
Clearfield
State
Utah
Zip
84015-1646
Phone Number
385-456-6275
Fax Number
person
Provider Business Mailing Address Details
Address
1550 S 1000 E
City
Clearfield
State
Utah
Zip
84015-1646
Phone Number
385-456-6275
Fax Number
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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