Individual provider · Type 1 NPI
Janis Marie Southworth, MA PC-TC
Professional Counselor · Medford, WI
NPI number
1235562737
Active
Practice location
136 W Broadway Ave
Medford, WI 54451-1757
Fax (715) 748-0627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1773-226 (WI) |
Professional Counselor: Definition to come...
2 other providers at this address
Other professional counselor providers in Medford
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- Gary Robert Probst, LPCProfessional Counselor Medford, WI NPI 1609318567
- Daniel RinehartProfessional Counselor Medford, WI NPI 1801682372
- Shane Arthur ZertlerProfessional Counselor Medford, WI NPI 1891032058
About NPI 1235562737
Janis Marie Southworth, MA PC-TC's National Provider Identifier is 1235562737, issued on Aug 20, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Medford, WI. The record was last updated on Oct 22, 2014.