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Jason Johnson
Peer Specialist in Holland, Michigan
NPI 1720769599

Jason Johnson is a Peer Specialist based in Holland, MI. Jason Johnson practices in Holland, MI. The NPI Number for Jason Johnson is 1720769599 and holds a License No. (Michigan).

The current practice location address for Jason Johnson is 97 W 22Nd St, Holland, MI and can be reached out via phone at 231-683-8164. You can also correspond with Jason Johnson through the mailing address at 97 W 22ND ST, HOLLAND, MI - 49423-4771 (mailing address contact number: 231-683-8164).

Location: 97 W 22Nd St, Holland, MI, 49423-4771
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720769599
Provider Name
Jason Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
97 W 22Nd St, Holland, MI, 49423-4771
Phone Number
231-683-8164
Fax Number
Provider Enumeration Date
07/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
97 W 22Nd St
City
Holland
State
Michigan
Zip
49423-4771
Phone Number
231-683-8164
Fax Number
person
Provider Business Mailing Address Details
Address
97 W 22Nd St
City
Holland
State
Michigan
Zip
49423-4771
Phone Number
231-683-8164
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Michigan)
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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