NPI 1013400688
Amanda Lee Johnson, LMSW
Practice location
- Address
- 12247 Stratford Dr, Clive, IA 50325-8147
- Phone
- (803) 636-7506
- Mailing address
- 5604 Orchard Dr, West Des Moines, IA 50266-7692
Registered specialties (2)
Mental Health Counselor
Primary
Case Manager/Care Coordinator
Registry record
- NPI
- 1013400688
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Jun 2018
- Record last updated
- 11 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.