Richard Johnson

NPI #1962145730 in Cheyenne, Wyoming

Provider Information

NPI Number: 1962145730
Entity Type: Individual
Name: Richard Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Apr 19, 2022
Last Updated: Jun 12, 2023

Practice Location

Address: 4514 LARAMIE ST
City: Cheyenne
State: Wyoming
ZIP Code: 82001-2154
Phone: (307) 638-8182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary
Community Health Worker	172V00000X

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