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Erica D Southworth
School Counselor in California, Maryland
NPI 1861937435

Erica D Southworth is a School Counselor based in California, MD and is specialized in School. Erica D Southworth practices in California, MD. The NPI Number for Erica D Southworth is 1861937435 and holds a License No. 300225 (Maryland).

The current practice location address for Erica D Southworth is 23077 Three Notch Rd Ste 302, California, MD and can be reached out via phone at 240-237-8338.

Location: 23077 Three Notch Rd Ste 302, California, MD, 20619-2453
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861937435
Provider Name
Erica D Southworth
Credential
Provider Entity Type
Individual
Gender
Female
Address
23077 Three Notch Rd Ste 302, California, MD, 20619-2453
Phone Number
240-237-8338
Fax Number
Provider Enumeration Date
01/05/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23077 Three Notch Rd Ste 302
City
California
State
Maryland
Zip
20619-2453
Phone Number
240-237-8338
Fax Number
person
Provider Business Mailing Address Details
Address
23077 Three Notch Rd Ste 302
City
California
State
Maryland
Zip
20619-2453
Phone Number
240-237-8338
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1870 (Maryland)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LGP5537 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
(Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
101YS0200X
License No.
300225 (Maryland)
Definition
Definition to come...
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