Individual
MICHAEL WILLIAM JOHNDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
634 S BAILEY ST, SUITE 207, PALMER, AK 99645-6330
(907) 745-7080
(907) 745-6263
Mailing address
634 S BAILEY ST, SUITE 207, PALMER, AK 99645-6330
(907) 745-7080
(907) 745-6263
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
86
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2383280
CIGNA
—
01
—
421545189
BLUE GROUP GROUP BILLING
AK
01
—
45-5503677
COMMERICAL INSURANCE
—
01
—
561028000
MAGELLAN
AK
05
—
MH9931
—
AK
Enumeration date
01/04/2007
Last updated
09/06/2012
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