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Individual
ANDREW JOHNSON
Active
Individual
ANDREW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20162-130
WI
101YP2500X
Professional Counselor
Primary
5526-125
WI
Other
Enumeration date
04/20/2021
Last updated
11/15/2023
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