Individual
MR. ANDREW F. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDS LPC NCC EMDR-CT
Contact information
Practice address
1918 N KINGSHIGHWAY ST STE 102, CAPE GIRARDEAU, MO 63701-2158
(573) 271-2008
(573) 271-2008
Mailing address
339 BROADWAY ST STE 102, CAPE GIRARDEAU, MO 63701-7321
(573) 271-2008
(573) 271-2008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
2019004054
MO
Other
Enumeration date
03/24/2011
Last updated
09/20/2024
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