Individual
ANDREA MARITA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
639 N SHEA RD, SCOTTSBURG, IN 47170-8132
(812) 820-3061
Mailing address
639 N SHEA RD, SCOTTSBURG, IN 47170-8132
(812) 820-3061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003807A
IN
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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