Individual
TERRI SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
5133 RIVERS AVE, NORTH CHARLESTON, SC 29406-6338
(843) 789-1786
(843) 958-1263
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2264
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1446
—
SC
Enumeration date
10/27/2014
Last updated
04/02/2024
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