Dr. Andra Johnson's National Provider Identifier (NPI) Details
Dr. Andra Johnson, LISW, LCSW, LCAC
NPI: 1093787426
Enumeration Date: 2006-02-01
Last updated: 2011-10-17
Sole Proprietor: YES
Status: active
Postal Address: 11014 CONSTANTIA CV, ROANOKE, IN
Phone: 216-798-1997
Primary Practice Address: 4656 W JEFFERSON BLVD, SUITE 285, FORT WAYNE, IN
Practice's phone: 260-422-9372