Individual provider · Type 1 NPI

Justin T. Tanner, PSS

Peer Specialist · Mandeville, LA

NPI number 1265108260 Active

Practice location

900 Wilkinson St
Mandeville, LA 70448-3533

Call (985) 624-4450 Map

Fax (985) 624-4461

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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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About NPI 1265108260

Justin T. Tanner, PSS's National Provider Identifier is 1265108260, issued on Aug 19, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Mandeville, LA. The record was last updated on Aug 19, 2021.