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Mr. Johnnie Christian, CDCAPEERSUPPORT
Peer Specialist in Cleveland, Ohio
NPI 1578002499

Johnnie Christian is a Peer Specialist based in Cleveland, OH. Johnnie Christian practices in Cleveland, OH and has the professional credentials of CDCAPEERSUPPORT. The NPI Number for Johnnie Christian is 1578002499 and holds a License No. CDCA.162615 (Ohio).

The current practice location address for Johnnie Christian is 1400 E 55Th St, Cleveland, OH and can be reached out via phone at 216-391-6672 and via fax at 440-843-1633.

Location: 1400 E 55Th St, Cleveland, OH, 44103-1304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578002499
Provider Name
Johnnie Christian
Credential
CDCAPEERSUPPORT
Provider Entity Type
Individual
Gender
Male
Address
1400 E 55Th St, Cleveland, OH, 44103-1304
Phone Number
216-391-6672
Fax Number
440-843-1633
Provider Enumeration Date
02/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 E 55Th St
City
Cleveland
State
Ohio
Zip
44103-1304
Phone Number
216-391-6672
Fax Number
440-843-1633
person
Provider Business Mailing Address Details
Address
1400 E 55Th St
City
Cleveland
State
Ohio
Zip
44103-1304
Phone Number
216-391-6672
Fax Number
440-843-1633
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
0002623 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CDCA.162615 (Ohio)
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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