Provider Demographics
NPI:1336981422
Name:SAIGEON, CLARISSA MARIE (LPC MHSP)
Entity type:Individual
Prefix:
First Name:CLARISSA
Middle Name:MARIE
Last Name:SAIGEON
Suffix:
Gender:F
Credentials:LPC MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 BEASLEY RD
Mailing Address - Street 2:
Mailing Address - City:NEWBERN
Mailing Address - State:TN
Mailing Address - Zip Code:38059-5008
Mailing Address - Country:US
Mailing Address - Phone:913-702-7878
Mailing Address - Fax:
Practice Address - Street 1:1309 E MAIN ST
Practice Address - Street 2:
Practice Address - City:HUMBOLDT
Practice Address - State:TN
Practice Address - Zip Code:38343-3327
Practice Address - Country:US
Practice Address - Phone:731-784-8814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6520101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health