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Chara Mashae Johnson
Peer Specialist in Greenville, Mississippi
NPI 1699469346

Chara Mashae Johnson is a Peer Specialist based in Greenville, MS. Chara Mashae Johnson practices in Greenville, MS. The NPI Number for Chara Mashae Johnson is 1699469346 and holds a License No. (Mississippi).

The current practice location address for Chara Mashae Johnson is 365 W Reed Rd, Greenville, MS and can be reached out via phone at 662-702-5108.

Location: 365 W Reed Rd, Greenville, MS, 38701-6967
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699469346
Provider Name
Chara Mashae Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
365 W Reed Rd, Greenville, MS, 38701-6967
Phone Number
662-702-5108
Fax Number
Provider Enumeration Date
06/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
365 W Reed Rd
City
Greenville
State
Mississippi
Zip
38701-6967
Phone Number
662-702-5108
Fax Number
person
Provider Business Mailing Address Details
Address
365 W Reed Rd
City
Greenville
State
Mississippi
Zip
38701-6967
Phone Number
662-702-5108
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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