Individual
MS. ANDRA L. TYISKA-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAPC, LLPC, CADC
Contact information
Practice address
4119 N SAGINAW ST, SUITE 107, FLINT, MI 48505-3995
(810) 820-3432
(810) 820-3439
Mailing address
2034 SEYMOUR AVE, FLINT, MI 48503-4343
(810) 931-8902
(810) 233-9028
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010799
MI
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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