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Individual
CRISTINA JOAN SOUTHERN
Active
Individual
CRISTINA JOAN SOUTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9348
CA
106H00000X
Marriage & Family Therapist
124674
CA
106H00000X
Marriage & Family Therapist
Primary
124749
CA
Other
Enumeration date
08/05/2015
Last updated
01/31/2023
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