person
Shirley W Southard
Professional Counselor in Wilmington, North Carolina
NPI 1083651376

Shirley W Southard is a Professional Counselor based in Wilmington, NC and is specialized in Professional. Shirley W Southard practices in Wilmington, NC. The NPI Number for Shirley W Southard is 1083651376 and holds a License No. 853 (North Carolina).

The current practice location address for Shirley W Southard is 1650 Greenfield St, Wilmington, NC and can be reached out via phone at 910-798-3500 and via fax at 910-798-7834. You can also correspond with Shirley W Southard through the mailing address at 1650 GREENFIELD ST, WILMINGTON, NC - 28401-6456 (mailing address contact number: 910-798-3500).

Location: 1650 Greenfield St, Wilmington, NC, 28401-6456
person
Provider Profile Details
NPI Number
1083651376
Provider Name
Shirley W Southard
Credential
Provider Entity Type
Individual
Gender
Female
Address
1650 Greenfield St, Wilmington, NC, 28401-6456
Phone Number
910-798-3500
Fax Number
910-798-7834
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1650 Greenfield St
City
State
Zip
28401-6456
Phone Number
910-798-3500
Fax Number
910-798-7834
person
Provider Business Mailing Address Details
Address
1650 Greenfield St
City
State
Zip
28401-6456
Phone Number
910-798-3500
Fax Number
910-798-7834
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11871 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
853 (North Carolina)
Definition
Definition to come...
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