Individual provider · Type 1 NPI

Karl Southgate, PSY.D., L.P.C.

Mental Health Counselor · Chicago, IL

NPI number 1396295572 Active

Practice location

8 S Michigan Ave, Suite 2100
Chicago, IL 60603-3357

Mailing address

5544 N Winthrop Ave, Apt 1
Chicago, IL 60640-1410

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.012318 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1396295572

Karl Southgate, PSY.D., L.P.C.'s National Provider Identifier is 1396295572, issued on Oct 11, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Oct 11, 2016.