person
James H Southern JR., LPC
Professional Counselor in Nags Head, North Carolina
NPI 1285708412

James H Southern JR. is a Professional Counselor based in Manteo, NC and is specialized in Professional. James H Southern JR. practices in Nags Head, NC and has the professional credentials of LPC. The NPI Number for James H Southern JR. is 1285708412 and holds a License No. 3091 (North Carolina).

The current practice location address for James H Southern JR. is 2808 S Croatan Hwy, Nags Head, NC and can be reached out via phone at 252-449-4011 and via fax at 252-449-4050.

Location: 2808 S Croatan Hwy, Nags Head, NC, 27954-9569
person
Provider Profile Details
NPI Number
1285708412
Provider Name
James H Southern JR.
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
2808 S Croatan Hwy, Nags Head, NC, 27954-9569
Phone Number
252-449-4011
Fax Number
252-449-4050
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
138TY 01 NC BCBS PROVIDER NUMBER
6102181 05 NC
institution
Provider Business Practice Location Address Details
Address
2808 S Croatan Hwy
City
State
Zip
27959-9024
Phone Number
252-449-4011
Fax Number
252-449-4050
person
Provider Business Mailing Address Details
Address
2808 S Croatan Hwy
City
State
Zip
27959-9024
Phone Number
252-449-4011
Fax Number
252-449-4050
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3091 (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.
3091 (North Carolina)
Definition
Definition to come...
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