Individual
RICHARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4514 LARAMIE ST, CHEYENNE, WY 82001-2154
(307) 638-8182
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 426-4728
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
127
WY
Other
Enumeration date
04/19/2022
Last updated
06/12/2023
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