Individual
ANDREW ROBERT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1125 6TH STREET SE, WOODLAND CENTERS, WILLMAR, MN 56201-4675
(320) 235-4613
(855) 625-7406
Mailing address
512 2ND ST SE, WILLMAR, MN 56201
(320) 231-1744
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1083
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032861
PREFERRED ONE
—
01
—
172403
UCARE
—
01
—
467S1JO
BLUE CROSS
—
05
—
570024800
—
MN
Enumeration date
12/06/2006
Last updated
11/15/2023
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