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KATHLEEN JOHNSON
NPI 1639915408
Peer Specialist in Canton, OH

Active since July 02, 2024
1548 CLARK AVE SW, CANTON, OH 44706(330) 546-8596 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kathleen Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN JOHNSON (NPI 1639915408) is an individual peer specialist in Canton, Ohio and active in the NPI registry since July 2024. She maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1639915408
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKATHLEEN JOHNSON
Location Address1548 CLARK AVE SWCanton, OH 44706-2835
Mailing Address1548 Clark Ave SwCanton, OH 44706-2835 · (330) 546-8596
Phone(330) 546-8596
Sole ProprietorYes
Enumeration DateJuly 2, 2024
NPPES CertifiedJuly 2, 2024
✔ NPI 1639915408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.

1548 CLARK AVE SW, Canton, OH 44706
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Secondary Practice Location 1

Location 11548 Clark Ave SWCanton, OH 44706-2835 · Phone (330) 546-8596

Frequently Asked Questions

What is Kathleen Johnson's NPI number?

The NPI number assigned to this healthcare provider is 1639915408, enumerated as an "individual" on July 02, 2024.

Where is the provider located?

The provider is located at 1548 CLARK AVE SW CANTON, OH 44706 and the phone number is (330) 546-8596.

What is the provider's specialty?

Peer Specialist with taxonomy code 175T00000X.