MRS. Andra D. Johnson, LISW, LCSW, LCAC
NPI #1093787426 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1093787426
- Entity Type
- Individual
- Name
- MRS. Andra D. Johnson, LISW, LCSW, LCAC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LISW, LCSW, LCAC
- Enumeration Date
- Feb 1, 2006
- Last Updated
- Oct 17, 2011
Practice Location
- Address
- 4656 W JEFFERSON BLVD
- Address 2
- SUITE 285
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-6857
- Phone
- (260) 422-9372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker - Clinical — Clinical |
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Organizations
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|---|---|
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