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Ms. Hannah Olivia Booker
Peer Specialist in Pascagoula, Mississippi
NPI 1508470121

Hannah Olivia Booker is a Peer Specialist based in Gautier, MS. Hannah Olivia Booker practices in Pascagoula, MS. The NPI Number for Hannah Olivia Booker is 1508470121 and holds a License No. (Mississippi).

The current practice location address for Hannah Olivia Booker is 4905 Telephone Rd, Pascagoula, MS and can be reached out via phone at 228-769-1280. You can also correspond with Hannah Olivia Booker through the mailing address at 3407 SHAMROCK CT, GAUTIER, MS - 39553-5337 (mailing address contact number: ).

Location: 4905 Telephone Rd, Pascagoula, MS, 39553-5337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508470121
Provider Name
Hannah Olivia Booker
Credential
Provider Entity Type
Individual
Gender
Female
Address
4905 Telephone Rd, Pascagoula, MS, 39553-5337
Phone Number
228-769-1280
Fax Number
Provider Enumeration Date
09/01/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018214 05 MS
institution
Provider Business Practice Location Address Details
Address
4905 Telephone Rd
City
Pascagoula
State
Mississippi
Zip
39567-1823
Phone Number
228-769-1280
Fax Number
person
Provider Business Mailing Address Details
Address
4905 Telephone Rd
City
Pascagoula
State
Mississippi
Zip
39567-1823
Phone Number
228-769-1280
Fax Number
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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