National Provider Identifier
Mark Richard Johnson, CRPA
Mark Richard Johnson, CRPA is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 627-1777.
Profile Overview
- NPI
- 1518526474
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- June 13, 2019
- Last Updated
- June 13, 2019
Practice Location
- 835 W Main St
- Rochester, NY 14611-2335
Phone: (585) 627-1777
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1518526474
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Mark
- Middle Name
- Richard
- Credential
- CRPA
- Mailing Street Address
- 835 W Main St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-2335
- Mailing Country
- US
- Practice Street Address
- 835 W Main St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-2335
- Practice Country
- US
- Practice Phone
- (585) 627-1777
- Enumeration Date
- June 13, 2019
- Last Updated
- June 13, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)