Individual
MRS. LINDA BUSSEY SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1913 GEORGETOWN DR, DENTON, TX 76201-1736
(469) 263-2831
Mailing address
1913 GEORGETOWN DR, DENTON, TX 76201-1736
(469) 263-2831
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14072
TX
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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