MRS. ANDRA JOHNSON, LISW, LCSW, LCAC

Social Worker - Clinical

Active Individual
NPI: 1093787426

Practice Address

4656 W JEFFERSON BLVD
SUITE 285
Fort Wayne, IN 46804

Phone: (260) 422-9372

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 34005636A (LCSW) (IN)
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 87000438A (LCAC) (IN)

Frequently Asked Questions

NPI 1093787426 is the National Provider Identifier for MRS. ANDRA JOHNSON, LISW, LCSW, LCAC, a Social Worker - Clinical provider located in Fort Wayne, IN. This NPI was enumerated on February 1, 2006.
MRS. ANDRA JOHNSON, LISW, LCSW, LCAC practices at 4656 W JEFFERSON BLVD, SUITE 285, Fort Wayne, IN 46804.

Quick Facts

NPI
1093787426
Type
Individual
Enumerated
Feb 1, 2006
Last Updated
Oct 17, 2011

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