Healthcare Provider Details

I. General information

NPI: 1336981422
Provider Name (Legal Business Name): CLARISSA MARIE SAIGEON LPC MHSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2024
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 E MAIN ST
HUMBOLDT TN
38343-3327
US

IV. Provider business mailing address

2010 BEASLEY RD
NEWBERN TN
38059-5008
US

V. Phone/Fax

Practice location:
  • Phone: 731-784-8814
  • Fax:
Mailing address:
  • Phone: 913-702-7878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6520
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: