Individual provider · Type 1 NPI

Raja Raja Nittianandan, PCMHT

Counselor · Gulfport, MS

NPI number 1124891817 Active

Practice location

1600 Broad Ave
Gulfport, MS 39501-3603

Call (228) 213-5888 Map

Fax (228) 575-3433

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X6327 (MS)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1124891817

Raja Raja Nittianandan, PCMHT's National Provider Identifier is 1124891817, issued on Nov 3, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Gulfport, MS. The record was last updated on Nov 3, 2023.