Individual
ANDREW JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED, LPC
Contact information
Practice address
400 W MAIN ST, EPHRATA, PA 17522-1760
(717) 725-8849
Mailing address
15 LYNDA DR, DENVER, PA 17517-9354
(717) 725-8849
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC010203
PA
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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