Johnson, Andrew Robert

Johnson, Andrew Robert is an individual health care provider with primary practice located at 1125 6Th Street Se Woodland Centers, Willmar MN 56201-4675. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Johnson, Andrew Robert can be contacted via phone (320) 235-4613.

Contact Information

Primary practice address
1125 6Th Street Se Woodland Centers Willmar MN 56201-4675
Phone: (320) 235-4613
Fax: (855) 625-7406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1083 Minnesota

Profile Details

NPI number 1750440715
LBN Legal business name Johnson, Andrew Robert
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Nov 15th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750440715 NPPES
Other 467S1JO BLUE CROSS
Other 172403 BLUE CROSS
Other 1032861 BLUE CROSS
MEDICAID 570024800 BLUE CROSS

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