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Bradford Lavoid Southern, LPC
Mental Health Counselor in Gadsden, Alabama
NPI 1104446343

Bradford Lavoid Southern is a Mental Health Counselor based in Ohatchee, AL and is specialized in Mental Health. Bradford Lavoid Southern practices in Gadsden, AL and has the professional credentials of LPC. The NPI Number for Bradford Lavoid Southern is 1104446343 and holds a License No. 4619 (Alabama).

The current practice location address for Bradford Lavoid Southern is 1519 Rainbow Dr, Gadsden, AL and can be reached out via phone at 256-459-8255. You can also correspond with Bradford Lavoid Southern through the mailing address at 272 SPRING RD, OHATCHEE, AL - 36271-9345 (mailing address contact number: 256-459-8255).

Location: 1519 Rainbow Dr, Gadsden, AL, 36271-9345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104446343
Provider Name
Bradford Lavoid Southern
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1519 Rainbow Dr, Gadsden, AL, 36271-9345
Phone Number
256-459-8255
Fax Number
Provider Enumeration Date
04/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1519 Rainbow Dr
City
Gadsden
State
Alabama
Zip
35901-5326
Phone Number
256-459-8255
Fax Number
person
Provider Business Mailing Address Details
Address
1519 Rainbow Dr
City
Gadsden
State
Alabama
Zip
35901-5326
Phone Number
256-459-8255
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
C3519A (Alabama)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
4619 (Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
4619 (Alabama)
Definition
Definition to come...
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