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De'andra O Johnson
Peer Specialist in Hayward, California
NPI 1417415472

De'andra O Johnson is a Peer Specialist based in Hayward, CA. De'andra O Johnson practices in Hayward, CA. The NPI Number for De'andra O Johnson is 1417415472 and holds a License No. (California).

The current practice location address for De'andra O Johnson is 1525 B St, Hayward, CA and can be reached out via phone at 510-963-9849. You can also correspond with De'andra O Johnson through the mailing address at 1525 B ST, HAYWARD, CA - 94541-3017 (mailing address contact number: ).

Location: 1525 B St, Hayward, CA, 94541-3017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417415472
Provider Name
De'andra O Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1525 B St, Hayward, CA, 94541-3017
Phone Number
510-963-9849
Fax Number
Provider Enumeration Date
03/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1525 B St
City
Hayward
State
California
Zip
94541-3017
Phone Number
510-963-9849
Fax Number
person
Provider Business Mailing Address Details
Address
1525 B St
City
Hayward
State
California
Zip
94541-3017
Phone Number
510-963-9849
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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