LISA K CRAIN

GULFPORT, MS
NPI1144254491
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MS  w3612)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: MS  w3612)
Enumeration Date2006-07-11
Last Update Date2007-07-08
Business Address
Ms. LISA K CRAIN med,lsw,cmht
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132
Mailing Address
Ms. LISA K CRAIN med,lsw,cmht
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132