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Individual

DR. ANDREW JOHN SOUTHERLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1802 HANKS ST, LUFKIN, TX 75904-5414
(307) 550-4888
Mailing address
3009 S JOHN REDDITT DR, SUITE E BOX 142, LUFKIN, TX 75904
(307) 222-9243

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
88702
TX
101YP2500X
Professional Counselor
LPC-2015
WY
101YP2500X
Professional Counselor
LPC.0017183
CO
101YP2500X
Professional Counselor
PPC-1109
WY

Other

Enumeration date
12/17/2019
Last updated
02/13/2023
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