Individual provider · Type 1 NPI
John Stephen Southern, EDD
Professional Counselor · Jackson, MS
NPI number
1396084786
Active
Practice location
106 Sugaloch Cv
Jackson, MS 39211-3435
Other practice locations
- 815B Ocean View Blvd, Pacific Grove, CA 93950-2229 · (361) 876-2030
- 2906 N State St, Suite 204, Jackson, MS 39216-4233 · (769) 524-4154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 071009636 (IL) |
| Marriage & Family Therapist | 106H00000X | T0188 (MS) |
| Professional Counselor Primary | 101YP2500X | 0571 (MS) |
| Professional Counselor | 101YP2500X | 08559 (TX) |
| Psychologist | 103T00000X | 003695 (PA) |
| Psychologist | 103T00000X | 30540 (CA) |
| Psychologist | 103T00000X | 071.009636 (IL) |
Professional Counselor: Definition to come...
Other professional counselor providers in Jackson
- Denease Inez Bishop, LPC, LMFTProfessional Counselor Jackson, MS NPI 1003119041
- Dennis Morgan Hydrick Jr., L.P.C.Professional Counselor Jackson, MS NPI 1003982679
- Sharon L. Terry, LPCProfessional Counselor Jackson, MS NPI 1013108851
- Makeshia WardenProfessional Counselor Jackson, MS NPI 1013478643
- Jeffrey Bryan Hickman, LPCProfessional Counselor Jackson, MS NPI 1033394358
- Natasha Griffin, LPCProfessional Counselor Jackson, MS NPI 1043092802
- Kristen Ruth Williams, LPCProfessional Counselor Jackson, MS NPI 1053686634
- Sherry Bouldin, LPCProfessional Counselor Jackson, MS NPI 1053784918
About NPI 1396084786
John Stephen Southern, EDD's National Provider Identifier is 1396084786, issued on Feb 6, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, MS. The record was last updated on Apr 11, 2019.