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:
Health care specialties
| Specialty | Code | License # | 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 2 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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