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Tatiyana Shauntia Renay Johnson
Peer Specialist in Mount Vernon, Ohio
NPI 1609569946

Tatiyana Shauntia Renay Johnson is a Peer Specialist based in Mansfield, OH. Tatiyana Shauntia Renay Johnson practices in Mount Vernon, OH. The NPI Number for Tatiyana Shauntia Renay Johnson is 1609569946 and holds a License No. (Ohio).

The current practice location address for Tatiyana Shauntia Renay Johnson is 1095 Harcourt Rd, Mount Vernon, OH and can be reached out via phone at 740-848-1010.

Location: 1095 Harcourt Rd, Mount Vernon, OH, 44903-2148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609569946
Provider Name
Tatiyana Shauntia Renay Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1095 Harcourt Rd, Mount Vernon, OH, 44903-2148
Phone Number
740-848-1010
Fax Number
Provider Enumeration Date
06/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1095 Harcourt Rd
City
Mount Vernon
State
Ohio
Zip
43050-4476
Phone Number
740-848-1010
Fax Number
person
Provider Business Mailing Address Details
Address
1095 Harcourt Rd
City
Mount Vernon
State
Ohio
Zip
43050-4476
Phone Number
740-848-1010
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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