Individual provider · Type 1 NPI

Misty Rae Southall, LICSW, MHP, CPC

Mental Health Counselor · Spokane, WA

NPI number 1487954145 Active

Practice location

312 W 8th Ave
Spokane, WA 99204-2506

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X31849 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1487954145

Misty Rae Southall, LICSW, MHP, CPC's National Provider Identifier is 1487954145, issued on Oct 28, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Spokane, WA. The record was last updated on Sep 11, 2020.