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Ms. Lisa K Crain, MED,LSW,CMHT
Professional Counselor in Gulfport, Mississippi
NPI 1144254491

Lisa K Crain is a Professional Counselor based in Gulfport, MS and is specialized in Professional. Lisa K Crain practices in Gulfport, MS and has the professional credentials of MED,LSW,CMHT. The NPI Number for Lisa K Crain is 1144254491 and holds a License No. W3612 (Mississippi).

The current practice location address for Lisa K Crain is 1600 Broad Ave, Gulfport, MS and can be reached out via phone at 228-863-1132 and via fax at 228-865-1700.

Location: 1600 Broad Ave, Gulfport, MS, 39501-3603
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Provider Profile Details
NPI Number
1144254491
Provider Name
Lisa K Crain
Credential
MED,LSW,CMHT
Provider Entity Type
Individual
Gender
Female
Address
1600 Broad Ave, Gulfport, MS, 39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018213 05 MS
institution
Provider Business Practice Location Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
person
Provider Business Mailing Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
W3612 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
W3612 (Mississippi)
Definition
Definition to come...
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