BYRON LEE JOHNSON PRSS NPI 1629718887

NPI Information

Byron Lee Johnson, PRSS is a peer specialist in Ada, OK. The provider is 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. Byron Lee Johnson, PRSS NPI is 1629718887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3115 ARLINGTON ST
ADA, OK
ZIP 74820-085
Phone: (580) 332-6345
Fax: (580) 421-7724

The enumeration date for this NPI number is 3/29/2022 and was last updated on 3/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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