Individual provider · Type 1 NPI

John David Sotherden, LMSW

Mental Health Counselor · Syracuse, NY

NPI number 1568482107 Active

Practice location

1031 E Fayette St
Syracuse, NY 13210-1022

Fax (315) 425-4406

Mailing address

218 Lorraine Ave
Syracuse, NY 13210-3230

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X067183-1 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1568482107

John David Sotherden, LMSW's National Provider Identifier is 1568482107, issued on Jul 19, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Syracuse, NY. The record was last updated on Jul 8, 2007.