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Dr. John Stephen Southern, EDD
Psychologist in Jackson, Mississippi
NPI 1396084786

John Stephen Southern is a Psychologist based in Jackson, MS. John Stephen Southern practices in Jackson, MS and has the professional credentials of EDD. The NPI Number for John Stephen Southern is 1396084786 and holds a License No. 071009636 (Mississippi).

The current practice location address for John Stephen Southern is 106 Sugaloch Cv, Jackson, MS and can be reached out via phone at 618-762-0303.

Location: 106 Sugaloch Cv, Jackson, MS, 39211-3435
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Provider Profile Details
NPI Number
1396084786
Provider Name
John Stephen Southern
Credential
EDD
Provider Entity Type
Individual
Gender
Male
Address
106 Sugaloch Cv, Jackson, MS, 39211-3435
Phone Number
618-762-0303
Fax Number
Provider Enumeration Date
02/06/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
071.009636 01 IL CLINICAL PSYCHOLOGIST LICENSE
30540 01 CA PSYCHOLOGIST LICENSE
0571 01 TX PROFESSIONAL COUNSELOR LICENSE
0571 01 MS PROFESSIONAL COUNSELOR LICENSE
PS-003695-L 01 PA PSYCHOLOGIST LICENSE
institution
Provider Business Practice Location Address Details
Address
106 Sugaloch Cv
City
State
Zip
39211-3435
Phone Number
618-762-0303
Fax Number
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Provider Business Mailing Address Details
Address
106 Sugaloch Cv
City
State
Zip
39211-3435
Phone Number
618-762-0303
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0571 (Mississippi)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
T0188 (Mississippi)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
License No.
071009636 (Illinois)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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