Individual provider · Type 1 NPI
Terrance Southern, LPC
Mental Health Counselor · Phoenix, AZ
NPI number
1982381919
Active
Practice location
3606 N 24th St
Phoenix, AZ 85016-6509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Mental Health Counselor Primary | 101YM0800X | LPC-22538 (AZ) |
Mental Health Counselor: Definition to come...
4 other providers at this address
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About NPI 1982381919
Terrance Southern, LPC's National Provider Identifier is 1982381919, issued on Jun 30, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 19, 2024.