Individual provider · Type 1 NPI

Brian Dale South

Professional Counselor · Springfield, MO

NPI number 1487943056 Active

Practice location

2131 S Eastgate Ave
Springfield, MO 65809-2146

Call (417) 763-3309 Map

Fax (417) 763-3331

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XMO 2011008666 (MO)

Professional Counselor: Definition to come...

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About NPI 1487943056

Brian Dale South's National Provider Identifier is 1487943056, issued on Apr 4, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, MO. The record was last updated on Apr 4, 2011.