Andra D. Johnson
NPI #1336468271 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1336468271
- Entity Type
- Organization
- Organization Name
- Andra D. Johnson
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- May 18, 2010
- 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
Authorized Official
- Name
- MRS. ANDRA D JOHNSON, LISW, LCSW, LCAC
- Title
- OWNER
- Phone
- (216) 798-1997
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker - Clinical — Clinical |
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| MRS. Andra D. Johnson, LISW, LCSW, LCAC | AI Deep Dive |
| Margaret L. Coats, LMHC | AI Deep Dive |
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