Individual provider · Type 1 NPI

Roni Lizana

Professional Counselor · Gulfport, MS

NPI number 1801559620 Active

Practice location

14231 Seaway Rd Ste 501
Gulfport, MS 39503-4628

Call (228) 206-6863 Map

Mailing address

13428 Cloverland Cv
Gulfport, MS 39503-8480

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2704 (MS)

Professional Counselor: Definition to come...

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About NPI 1801559620

Roni Lizana's National Provider Identifier is 1801559620, issued on Oct 19, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gulfport, MS. The record was last updated on Oct 19, 2021.