Individual provider · Type 1 NPI
Tina Andrea Tanner
Mental Health Counselor · Crystal Springs, MS
NPI number
1780475566
Active
Practice location
1009 Pine Meadows Dr
Crystal Springs, MS 39059-8877
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1780475566
Tina Andrea Tanner's National Provider Identifier is 1780475566, issued on May 13, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Crystal Springs, MS. The record was last updated on May 13, 2025.