MADELINE NICKLAS CPSS NPI 1316555329

NPI Information

Madeline Nicklas, CPSS is a peer specialist in Gulfport, MS. The provider is 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. Madeline Nicklas, CPSS NPI is 1316555329. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1600 BROAD AVE
GULFPORT, MS
ZIP 39501-603
Phone: (228) 863-1132

The enumeration date for this NPI number is 7/15/2020 and was last updated on 7/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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