Individual
JAMES H SOUTHERN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2808 S CROATAN HWY, SUITE A, NAGS HEAD, NC 27959-9024
(252) 449-4011
(252) 449-4050
Mailing address
170 SHERWOOD DR, MANTEO, NC 27954-9569
(252) 473-6436
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3091
NC
101YP2500X
Professional Counselor
3091
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138TY
BCBS PROVIDER NUMBER
NC
05
—
6102181
—
NC
Enumeration date
11/20/2006
Last updated
09/11/2025
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