Individual provider · Type 1 NPI

Mary B. Southworth, M.A.

Mental Health Counselor · Springfield, MA

NPI number 1043596810 Active

Practice location

1695 Main St
Springfield, MA 01103-1348

Call (413) 739-5572 Map

Fax (413) 739-9972

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1043596810

Mary B. Southworth, M.A.'s National Provider Identifier is 1043596810, issued on Oct 25, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, MA. The record was last updated on Oct 25, 2011.