IndividualActive
Andrew Johnson, EDS LPC NCC EMDR-CT
NPI 1033418462 · Addiction (Substance Use Disorder) Counselor · Cape Girardeau, MO
Provider details
- NPI number
- 1033418462
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- EDS LPC NCC EMDR-CT
- Sex
- Male
- Sole proprietor
- No
- License
- 2019004054 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1918 N Kingshighway St Ste 102
Cape Girardeau, MO 63701-2158
Phone: (573) 271-2008
Fax: (573) 271-2008
Approximate (ZIP-level) locationGet directions
Mailing address
339 Broadway St Ste 102
Cape Girardeau, MO 63701-7321
Registry dates
- Enumerated
- 2011-03-24
- Last updated
- 2024-09-20
- Certified
- 2024-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.