Gary Dalevon Johnson
Gary Dalevon Johnson is a Peer Specialist in Cleveland, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
3214 Prospect Ave ECleveland, OH 44115-2614
Phone: (216) 910-9015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence APS.005027 |
|---|
Record details
| NPI number | 1215786140 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 14, 2024 |
| Last updated in NPPES | May 14, 2024 |
| Certification date | May 14, 2024 |
| Mailing address | 3214 Prospect Ave E, Cleveland, OH 44115-2614 |
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