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Susan Southern
Counselor in Shelbyville, Kentucky
NPI 1669681656

Susan Southern is a Counselor based in Louisville, KY. Susan Southern practices in Shelbyville, KY. The NPI Number for Susan Southern is 1669681656 and holds a License No. (Kentucky).

The current practice location address for Susan Southern is 250 Alpine Dr, Shelbyville, KY and can be reached out via phone at 502-633-5683 and via fax at 502-633-6203.

Location: 250 Alpine Dr, Shelbyville, KY, 40202-1423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669681656
Provider Name
Susan Southern
Credential
Provider Entity Type
Individual
Gender
Female
Address
250 Alpine Dr, Shelbyville, KY, 40202-1423
Phone Number
502-633-5683
Fax Number
502-633-6203
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
250 Alpine Dr
City
Shelbyville
State
Kentucky
Zip
40065-8880
Phone Number
502-633-5683
Fax Number
502-633-6203
person
Provider Business Mailing Address Details
Address
250 Alpine Dr
City
Shelbyville
State
Kentucky
Zip
40065-8880
Phone Number
502-633-5683
Fax Number
502-633-6203
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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