person
Jessica Marie Southard
Professional Counselor in Reidsville, North Carolina
NPI 1215492624

Jessica Marie Southard is a Professional Counselor based in Concord, NC and is specialized in Professional. Jessica Marie Southard practices in Reidsville, NC. The NPI Number for Jessica Marie Southard is 1215492624 and holds a License No. (North Carolina).

The current practice location address for Jessica Marie Southard is 335 County Home Rd, Reidsville, NC and can be reached out via phone at 336-342-8316.

Location: 335 County Home Rd, Reidsville, NC, 28025-1833
person
Provider Profile Details
NPI Number
1215492624
Provider Name
Jessica Marie Southard
Credential
Provider Entity Type
Individual
Gender
Female
Address
335 County Home Rd, Reidsville, NC, 28025-1833
Phone Number
336-342-8316
Fax Number
Provider Enumeration Date
02/11/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
335 County Home Rd
City
State
Zip
27320-9694
Phone Number
336-342-8316
Fax Number
person
Provider Business Mailing Address Details
Address
335 County Home Rd
City
State
Zip
27320-9694
Phone Number
336-342-8316
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
14633 (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.
(North Carolina)
Definition
Definition to come...
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