Individual
ALEA SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 E 7TH ST, LONG BEACH, CA 90804-4932
(562) 987-5722
(562) 987-4586
Mailing address
1041 REDONDO AVE, LONG BEACH, CA 90804-3928
(562) 987-5722
(562) 987-4586
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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