Andra D. Johnson
Andra D. Johnson is an Addiction (Substance Use Disorder) Counselor in Fort Wayne, Indiana. Licensed in Indiana, Ohio and Wisconsin. Registered with an NPI since 2010.
- Licensed in
- IN, OH, WI
- In the registry since
- 2010
- Specialties on file
- 5
Practice location Address checks out
4656 W Jefferson Blvd Ste 285Fort Wayne, IN 46804-6857
Phone: (260) 422-9372
Fax: (260) 672-0859
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 34005636A (IN) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 991842 (OH) |
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 87000438A (IN) |
| Clinical Social Worker | Taxonomy 1041C0700X · Licence I-0009358 (OH) |
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 2972-123 (WI) |
Record details
| NPI number | 1336468271 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andra Johnson — Owner · (216) 798-1997 |
| Other names | Four Rivers & Associates Llc |
| NPI enumerated | May 18, 2010 |
| Last updated in NPPES | October 17, 2011 |
| Mailing address | 11014 Constantia Cv, Roanoke, IN 46783-8910 |
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