Individual
PAUL ERIC SOUTHWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CADAC IV
Contact information
Practice address
960 MORGAN ST, CLINTON, IN 47842-1353
(888) 858-1723
Mailing address
960 MORGAN ST, CLINTON, IN 47842-1353
(888) 858-1723
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IN
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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