Individual
MR. ANDREW A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA BS MSW LICSW LADC
Contact information
Practice address
981 GLENDON ST N, MAPLEWOOD, MN 55119-3811
(612) 354-9027
Mailing address
981 GLENDON ST N, MAPLEWOOD, MN 55119-3811
(612) 354-9027
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304558
MN
1041C0700X
Clinical Social Worker
Primary
26144
MN
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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