Individual
CHRISTY LYNN SOUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
181 W MICHIGAN AVE STE 3, PAW PAW, MI 49079-1432
(269) 657-6025
(269) 657-5198
Mailing address
181 W MICHIGAN AVE STE 3, PAW PAW, MI 49079-1432
(269) 657-6025
(269) 657-5198
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010938
MI
Other
Enumeration date
06/27/2016
Last updated
07/21/2022
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