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Carolyn S South, LPC
Professional Counselor in Gloucester, Virginia
NPI 1700849148

Carolyn S South is a Professional Counselor based in Gloucester, VA and is specialized in Professional. Carolyn S South practices in Gloucester, VA and has the professional credentials of LPC. The NPI Number for Carolyn S South is 1700849148 and holds a License No. 0717000854 (Virginia).

The current practice location address for Carolyn S South is 6558 Main Street, Gloucester, VA and can be reached out via phone at 804-699-3238 and via fax at 804-699-3731.

Location: 6558 Main Street, Gloucester, VA, 23061-0549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700849148
Provider Name
Carolyn S South
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
6558 Main Street, Gloucester, VA, 23061-0549
Phone Number
804-699-3238
Fax Number
804-699-3731
Provider Enumeration Date
04/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000000000 05 VA
institution
Provider Business Practice Location Address Details
Address
6558 Main Street
City
Gloucester
State
Virginia
Zip
23061-4162
Phone Number
804-699-3238
Fax Number
804-699-3731
person
Provider Business Mailing Address Details
Address
6558 Main Street
City
Gloucester
State
Virginia
Zip
23061-4162
Phone Number
804-699-3238
Fax Number
804-699-3731
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0701001882 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
0717000854 (Virginia)
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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