Search › Indiana › 1041C0700X
Andra Johnson, LISW, LCSW, LCAC
NPI 1093787426 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4656 W Jefferson Blvd
Suite 285
Fort Wayne, IN 46804 - Phone
- (260) 422-9372
- Fax
- (260) 672-0859
- Organisation at this address
- Jon D Sharpe
Andra D. Johnson
Gerard Associates Inc
Charis Et Veritas Llc
A Brighter Future, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
1041C0700X
1041C0700X
101YA0400X - Licence states on file
- OH, WI, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana