person
John Anthony Southworth, LMHC
Mental Health Counselor in Troy, New York
NPI 1457515199

John Anthony Southworth is a Mental Health Counselor based in Troy, NY and is specialized in Mental Health. John Anthony Southworth practices in Troy, NY and has the professional credentials of LMHC. The NPI Number for John Anthony Southworth is 1457515199 and holds a License No. 001436-1 (New York).

The current practice location address for John Anthony Southworth is 2215 Burdett Ave, Troy, NY and can be reached out via phone at 518-271-3128 and via fax at 518-271-3586.

Location: 2215 Burdett Ave, Troy, NY, 12180-2466
person
Provider Profile Details
NPI Number
1457515199
Provider Name
John Anthony Southworth
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
2215 Burdett Ave, Troy, NY, 12180-2466
Phone Number
518-271-3128
Fax Number
518-271-3586
Provider Enumeration Date
07/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00318805 05 NY
institution
Provider Business Practice Location Address Details
Address
2215 Burdett Ave
City
State
Zip
12180-2466
Phone Number
518-271-3128
Fax Number
518-271-3586
person
Provider Business Mailing Address Details
Address
2215 Burdett Ave
City
State
Zip
12180-2466
Phone Number
518-271-3128
Fax Number
518-271-3586
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
001436-1 (New York)
Definition
Definition to come...
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