Individual provider · Type 1 NPI

Donnell Southall

Mental Health Counselor · Riverside, CA

NPI number 1922453380 Active

Practice location

3125 Myers St
Riverside, CA 92503-5527

Call (951) 358-4840 Map

Mailing address

3840 Myers St
Riverside, CA 92503-3614

Specialties and licenses

TaxonomyCodeLicense
School Social Worker 1041S0200XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1922453380

Donnell Southall's National Provider Identifier is 1922453380, issued on May 4, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Riverside, CA. The record was last updated on May 23, 2019.