Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Antoine Johnson

Individual provider Peer Specialist · NPI 1316545379

Antoine Johnson is a Peer Specialist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2020.

Licensed in
PA
In the registry since
2020
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Practice location Address checks out

846 N 63rd St
Philadelphia, PA 19151-3443
Phone: (121) 538-8533
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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 852373 (PA)

Record details

NPI number1316545379
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 13, 2020
Last updated in NPPESOctober 16, 2020
Certification dateOctober 16, 2020

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