Individual provider · Type 1 NPI

Shirley W. Southard

Professional Counselor · Wilmington, NC

NPI number 1083651376 Active

Practice location

1650 Greenfield St
Wilmington, NC 28401-6456

Fax (910) 798-7834

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X853 (NC)
Professional Counselor Primary 101YP2500X11871 (NC)

Professional Counselor: Definition to come...

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About NPI 1083651376

Shirley W. Southard's National Provider Identifier is 1083651376, issued on Jun 2, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wilmington, NC. The record was last updated on Jul 7, 2020.