person
Madeline Nicklas, CPSS
Peer Specialist in Gulfport, Mississippi
NPI 1316555329

Madeline Nicklas is a Peer Specialist based in Gulfport, MS. Madeline Nicklas practices in Gulfport, MS and has the professional credentials of CPSS. The NPI Number for Madeline Nicklas is 1316555329 and holds a License No. (Mississippi).

The current practice location address for Madeline Nicklas is 1600 Broad Ave, Gulfport, MS and can be reached out via phone at 228-863-1132. You can also correspond with Madeline Nicklas through the mailing address at PO BOX 6705, GULFPORT, MS - 39506-6705 (mailing address contact number: 228-865-1330).

Location: 1600 Broad Ave, Gulfport, MS, 39506-6705
person
Provider Profile Details
NPI Number
1316555329
Provider Name
Madeline Nicklas
Credential
CPSS
Provider Entity Type
Individual
Gender
Female
Address
1600 Broad Ave, Gulfport, MS, 39506-6705
Phone Number
228-863-1132
Fax Number
Provider Enumeration Date
07/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-863-1132
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 6705
City
State
Zip
39506-6705
Phone Number
228-865-1330
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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