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Justin T Tanner, PSS
Peer Specialist in Mandeville, Louisiana
NPI 1265108260

Justin T Tanner is a Peer Specialist based in Mandeville, LA. Justin T Tanner practices in Mandeville, LA and has the professional credentials of PSS. The NPI Number for Justin T Tanner is 1265108260 and holds a License No. (Louisiana).

The current practice location address for Justin T Tanner is 900 Wilkinson St, Mandeville, LA and can be reached out via phone at 985-624-4450 and via fax at 985-624-4461.

Location: 900 Wilkinson St, Mandeville, LA, 70448-3533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265108260
Provider Name
Justin T Tanner
Credential
PSS
Provider Entity Type
Individual
Gender
Male
Address
900 Wilkinson St, Mandeville, LA, 70448-3533
Phone Number
985-624-4450
Fax Number
985-624-4461
Provider Enumeration Date
08/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
900 Wilkinson St
City
Mandeville
State
Louisiana
Zip
70448-3533
Phone Number
985-624-4450
Fax Number
985-624-4461
person
Provider Business Mailing Address Details
Address
900 Wilkinson St
City
Mandeville
State
Louisiana
Zip
70448-3533
Phone Number
985-624-4450
Fax Number
985-624-4461
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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