Raja Raja Nittianandan, PCMHT
Counselor in Gulfport, MS. Individual provider (NPI-1).
NPI number1124891817
StatusActive
Last updated in NPPESNov 3, 2023
Details
- NPI
- 1124891817
- Entity type
- Individual (NPI-1)
- Name
- Raja Raja Nittianandan
- Credential
- PCMHT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2023
- Certification date
- Nov 3, 2023
- Last updated
- Nov 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 6327 | MS | Yes |
Practice location
1600 Broad AveGulfport, MS 39501-3603
Phone 228-213-5888 · Fax 228-575-3433
Mailing address
Po Box 18679Hattiesburg, MS 39404-8679
Phone 601-705-1901
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All 43 Counselor providers in Gulfport · All 2,821 providers in Gulfport
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