Individual provider · Type 1 NPI
David Southall, LPC
Professional Counselor · Roanoke, VA
NPI number
1245955731
Active
Practice location
3807 Brandon Ave SW # 1115
Roanoke, VA 24018-1490
Other practice locations
- 930 Cambria St NE, Christiansburg, VA 24073-1631 · (540) 342-1261
- 401 N Jefferson St, Galax, VA 24333-2858 · (276) 601-2904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701011817 (VA) |
Professional Counselor: Definition to come...
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About NPI 1245955731
David Southall, LPC's National Provider Identifier is 1245955731, issued on Oct 6, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Roanoke, VA. The record was last updated on Oct 6, 2022.