Individual
MR. JOHN SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2512 S. HARVEY, OKLAHOMA CITY, OK 73109
(405) 810-9578
(405) 810-9597
Mailing address
4436 N.W. 50TH, OKLAHOMA CITY, OK 73112
(405) 858-2733
(405) 858-2810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
492
OK
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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