Individual provider · Type 1 NPI
Michael Southers
Professional Counselor · Frederick, MD
NPI number
1114338282
Active
Practice location
100 N Court St, Suite 203
Frederick, MD 21701-5416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP5510 (MD) |
| Professional Counselor Primary | 101YP2500X | LC7423 (MD) |
Professional Counselor: Definition to come...
2 other providers at this address
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- Krista Stanzione, MS, LGPCProfessional Counselor Frederick, MD NPI 1013523083
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About NPI 1114338282
Michael Southers's National Provider Identifier is 1114338282, issued on May 12, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Frederick, MD. The record was last updated on Nov 16, 2016.