Individual
JAMES SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-IT, M.S., PH.D.
Contact information
Practice address
2524 E WEBSTER PL STE 203, MILWAUKEE, WI 53211-4257
(414) 964-9200
(414) 964-4816
Mailing address
602 S 9TH ST UNIT 2W, MILWAUKEE, WI 53204-1308
(414) 218-4102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7278226
WI
Other
Enumeration date
03/24/2023
Last updated
03/30/2023
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