Individual provider · Type 1 NPI

Samantha Yates, CPSS

Mental Health Counselor · Clarksdale, MS

NPI number 1548753205 Active

Practice location

122 Desoto Ave Ste 109
Clarksdale, MS 38614-4440

Call (662) 592-5397 Map

Fax (662) 627-2442

Mailing address

860 E River Pl Ste 100
Jackson, MS 39202-3442

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1548753205

Samantha Yates, CPSS's National Provider Identifier is 1548753205, issued on Jun 7, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clarksdale, MS. The record was last updated on Jun 7, 2018.