Individual
MRS. ARMA JEAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6111 HARRISON ST, SUITE 310, MERRILLVILLE, IN 46410-2969
(219) 980-1973
(219) 980-1369
Mailing address
6111 HARRISON ST, SUITE 310, MERRILLVILLE, IN 46410-2969
(219) 980-1973
(219) 980-1369
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001993A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000283066
PROVIDER ID
IN
01
—
0007989170
PROVIDER ID
IN
01
—
166000
PROVIDER ID
IN
01
—
271334136
TAX IDENIFICATION NUMBER
IN
Enumeration date
07/17/2006
Last updated
02/05/2010
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