Individual
MR. JOHN ARMISTEAD CONWAY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1437 OLD SQUARE RD STE 101, JACKSON, MS 39211-5533
(601) 977-9353
(601) 977-9422
Mailing address
1437 OLD SQUARE RD STE 101, JACKSON, MS 39211-5533
(601) 977-9353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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