Individual
STEPHEN SOUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
515 PARK AVENUE SW, NORTON, VA 24273
(276) 700-2768
Mailing address
507 PARK AVE SW, NORTON, VA 24273-2018
(276) 200-2768
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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