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Lisa Clary, CPSS
Peer Specialist in Hattiesburg, Mississippi
NPI 1720702285

Lisa Clary is a Peer Specialist based in Hattiesburg, MS. Lisa Clary practices in Hattiesburg, MS and has the professional credentials of CPSS. The NPI Number for Lisa Clary is 1720702285 and holds a License No. 0634 (Mississippi).

The current practice location address for Lisa Clary is 103 S 19Th Ave, Hattiesburg, MS and can be reached out via phone at 601-544-4641.

Location: 103 S 19Th Ave, Hattiesburg, MS, 39404-8679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720702285
Provider Name
Lisa Clary
Credential
CPSS
Provider Entity Type
Individual
Gender
Female
Address
103 S 19Th Ave, Hattiesburg, MS, 39404-8679
Phone Number
601-544-4641
Fax Number
Provider Enumeration Date
09/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
103 S 19Th Ave
City
Hattiesburg
State
Mississippi
Zip
39401-6171
Phone Number
601-544-4641
Fax Number
person
Provider Business Mailing Address Details
Address
103 S 19Th Ave
City
Hattiesburg
State
Mississippi
Zip
39401-6171
Phone Number
601-544-4641
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
0634 (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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