person
Mr. Brian Dale South
Professional Counselor in Springfield, Missouri
NPI 1487943056

Brian Dale South is a Professional Counselor based in Springfield, MO and is specialized in Professional. Brian Dale South practices in Springfield, MO. The NPI Number for Brian Dale South is 1487943056 and holds a License No. MO 2011008666 (Missouri).

The current practice location address for Brian Dale South is 2131 S Eastgate Ave, Springfield, MO and can be reached out via phone at 417-763-3309 and via fax at 417-763-3331.

Location: 2131 S Eastgate Ave, Springfield, MO, 65809-2146
person
Provider Profile Details
NPI Number
1487943056
Provider Name
Brian Dale South
Credential
Provider Entity Type
Individual
Gender
Male
Address
2131 S Eastgate Ave, Springfield, MO, 65809-2146
Phone Number
417-763-3309
Fax Number
417-763-3331
Provider Enumeration Date
04/04/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2131 S Eastgate Ave
City
State
Zip
65809-2146
Phone Number
417-763-3309
Fax Number
417-763-3331
person
Provider Business Mailing Address Details
Address
2131 S Eastgate Ave
City
State
Zip
65809-2146
Phone Number
417-763-3309
Fax Number
417-763-3331
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
MO 2011008666 (Missouri)
Definition
Definition to come...
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