Individual
MR. ANDY JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
1920 DUNBARTON DR, JACKSON, MS 39216-5001
(601) 982-5376
Mailing address
1920 DUNBARTON DR, JACKSON, MS 39216-5001
(601) 982-5376
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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