Individual provider · Type 1 NPI
Andra L. Tyiska-Johnson, MAPC, LLPC, CADC
Professional Counselor · Flint, MI
NPI number
1124364419
Active
Practice location
4119 N Saginaw St, Suite 107
Flint, MI 48505-3995
Fax (810) 820-3439
Mailing address
2034 Seymour Ave
Flint, MI 48503-4343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401010799 (MI) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1124364419
Andra L. Tyiska-Johnson, MAPC, LLPC, CADC's National Provider Identifier is 1124364419, issued on Dec 14, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Flint, MI. The record was last updated on Dec 14, 2012.