person
Samuel Walker, PCCSSS
Peer Specialist in Gulfport, Mississippi
NPI 1366203077

Samuel Walker is a Peer Specialist based in Hattiesburg, MS. Samuel Walker practices in Gulfport, MS and has the professional credentials of PCCSSS. The NPI Number for Samuel Walker is 1366203077 and holds a License No. 4138 (Mississippi).

The current practice location address for Samuel Walker is 1600 Broad Ave, Gulfport, MS and can be reached out via phone at 228-213-5888 and via fax at 228-575-3433.

Location: 1600 Broad Ave, Gulfport, MS, 39404-8679
person
Provider Profile Details
NPI Number
1366203077
Provider Name
Samuel Walker
Credential
PCCSSS
Provider Entity Type
Individual
Gender
Male
Address
1600 Broad Ave, Gulfport, MS, 39404-8679
Phone Number
228-213-5888
Fax Number
228-575-3433
Provider Enumeration Date
01/19/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-213-5888
Fax Number
228-575-3433
person
Provider Business Mailing Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-213-5888
Fax Number
228-575-3433
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
4138 (Mississippi)
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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