# GREGORY SOUTHARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1588183453
- **Gender:** Man
- **Credential:** IMFT-S, LPCC-S

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | E.2001739 | OH | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | F.2100158 | OH | — |
| 106H00000X | Marriage & Family Therapist | F.2100158-SUPV | OH | Yes |
| 106H00000X | Marriage & Family Therapist | M1900095 | OH | — |

## Other

- **Enumeration date:** 09/12/2017
- **Last updated:** 04/29/2026