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Colton Ray Johnson
Peer Specialist in Nowata, Oklahoma
NPI 1891389250

Colton Ray Johnson is a Peer Specialist based in Nowata, OK. Colton Ray Johnson practices in Nowata, OK. The NPI Number for Colton Ray Johnson is 1891389250 and holds a License No. (Oklahoma).

The current practice location address for Colton Ray Johnson is 325 S Ash St., Nowata, OK and can be reached out via phone at 918-273-7344 and via fax at 918-999-0111.

Location: 325 S Ash St., Nowata, OK, 74048-4628
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891389250
Provider Name
Colton Ray Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
325 S Ash St., Nowata, OK, 74048-4628
Phone Number
918-273-7344
Fax Number
918-999-0111
Provider Enumeration Date
02/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
325 S Ash St.
City
Nowata
State
Oklahoma
Zip
74048-4628
Phone Number
918-273-7344
Fax Number
918-999-0111
person
Provider Business Mailing Address Details
Address
325 S Ash St.
City
Nowata
State
Oklahoma
Zip
74048-4628
Phone Number
918-273-7344
Fax Number
918-999-0111
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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