Individual provider · Type 1 NPI
Sotderia Griffin
Professional Counselor · Tallulah, LA
NPI number
1477903136
Active
Practice location
124 Kimbrough Blvd Bldg Q
Tallulah, LA 71282-4307
Fax (318) 574-4407
Mailing address
879 William Blvd Apt 21C
Ridgeland, MS 39157-1571
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 5886 (LA) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1477903136
Sotderia Griffin's National Provider Identifier is 1477903136, issued on Jun 14, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tallulah, LA. The record was last updated on Jun 14, 2016.