Individual provider · Type 1 NPI

Kevin Michael Southers, BA

Addiction (Substance Use Disorder) Counselor · Williamson, WV

NPI number 1992460141 Active

Practice location

1609 W 3rd Ave
Williamson, WV 25661-3006

Mailing address

PO Box 219
Holden, WV 25625-0219

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1992460141

Kevin Michael Southers, BA's National Provider Identifier is 1992460141, issued on Nov 3, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Williamson, WV. The record was last updated on Nov 3, 2021.