Krista Condon
Peer Specialist in Rochester, NY. Individual provider (NPI-1).
NPI number1952864530
StatusActive
Last updated in NPPESApr 10, 2019
Details
- NPI
- 1952864530
- Entity type
- Individual (NPI-1)
- Name
- Krista Condon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2019
- Last updated
- Apr 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Other names
- Krista Johnson (Professional Name)
Practice location
1099 Jay St Bldg JRochester, NY 14611-1153
Phone 585-328-0740
Mailing address
1099 Jay St Bldg PRochester, NY 14611-1164
Phone 585-328-0740
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