Individual provider · Type 1 NPI

Donna Southard, MA LCPC

Professional Counselor · Lansing, IL

NPI number 1649691924 Active

Practice location

2325 177th St
Lansing, IL 60438-1722

Call (708) 895-7310 Map

Mailing address

1701 Forsythia St SE
Demotte, IN 46310-8264

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180003601 (IL)

Professional Counselor: Definition to come...

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About NPI 1649691924

Donna Southard, MA LCPC's National Provider Identifier is 1649691924, issued on Jan 3, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lansing, IL. The record was last updated on Jan 3, 2014.