person
Ms. Misty Rae Southall, LICSW,MHP,CPC
Mental Health Counselor in Spokane, Washington
NPI 1487954145

Misty Rae Southall is a Mental Health Counselor based in Spokane, WA and is specialized in Mental Health. Misty Rae Southall practices in Spokane, WA and has the professional credentials of LICSW,MHP,CPC. The NPI Number for Misty Rae Southall is 1487954145 and holds a License No. 31849 (Washington).

The current practice location address for Misty Rae Southall is 312 W 8Th Ave, Spokane, WA and can be reached out via phone at 714-336-6596.

Location: 312 W 8Th Ave, Spokane, WA, 99204-2506
person
Provider Profile Details
NPI Number
1487954145
Provider Name
Misty Rae Southall
Credential
LICSW,MHP,CPC
Provider Entity Type
Individual
Gender
Female
Address
312 W 8Th Ave, Spokane, WA, 99204-2506
Phone Number
714-336-6596
Fax Number
Provider Enumeration Date
10/28/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
312 W 8Th Ave
City
State
Zip
99204-2506
Phone Number
714-336-6596
Fax Number
person
Provider Business Mailing Address Details
Address
312 W 8Th Ave
City
State
Zip
99204-2506
Phone Number
714-336-6596
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
31849 (California)
Definition
Definition to come...
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