Individual provider · Type 1 NPI

John Armistead Conway Iii

Addiction (Substance Use Disorder) Counselor · Jackson, MS

NPI number 1588316038 Active

Practice location

1437 Old Square Rd Ste 101
Jackson, MS 39211-5533

Call (601) 977-9353 Map

Fax (601) 977-9422

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1588316038

John Armistead Conway Iii's National Provider Identifier is 1588316038, issued on Jan 25, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, MS. The record was last updated on Jan 25, 2022.