Mr. Ezequiel Anthony Johnson, P-PRC
Mr. Ezequiel Anthony Johnson, P-PRC is a Peer Specialist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2026.
- Licensed in
- ID
- In the registry since
- 2026
Practice location Address checks out
7091 W Emerald StBoise, ID 83704-8618
Phone: (208) 880-0863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (ID) |
|---|
Record details
| NPI number | 1164345534 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | P-PRC |
| Sole proprietor | No |
| NPI enumerated | August 3, 2026 |
| Last updated in NPPES | August 3, 2026 |
| Certification date | August 3, 2026 |
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