Individual provider · Type 1 NPI

John Anthony Southworth, LMHC

Mental Health Counselor · Malta, NY

NPI number 1457515199 Active

Practice location

2452 US Route 9, Suite 206
Malta, NY 12020

Call (518) 292-5433 Map

Fax (518) 899-4930

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X001436-1 (NY)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1457515199

John Anthony Southworth, LMHC's National Provider Identifier is 1457515199, issued on Jul 11, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Malta, NY. The record was last updated on Mar 13, 2026.