person
Ms. Lisa Anne Southworth, LPC
Professional Counselor in Columbia, South Carolina
NPI 1871625590

Lisa Anne Southworth is a Professional Counselor based in Columbia, SC and is specialized in Professional. Lisa Anne Southworth practices in Columbia, SC and has the professional credentials of LPC. The NPI Number for Lisa Anne Southworth is 1871625590 and holds a License No. 3419 (South Carolina).

The current practice location address for Lisa Anne Southworth is 1709 Laurel St., Columbia, SC and can be reached out via phone at 803-765-0700 and via fax at 803-765-1607.

Location: 1709 Laurel St., Columbia, SC, 29201-2624
person
Provider Profile Details
NPI Number
1871625590
Provider Name
Lisa Anne Southworth
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1709 Laurel St., Columbia, SC, 29201-2624
Phone Number
803-765-0700
Fax Number
803-765-1607
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1709 Laurel St.
City
State
Zip
29201-2624
Phone Number
803-765-0700
Fax Number
803-765-1607
person
Provider Business Mailing Address Details
Address
1709 Laurel St.
City
State
Zip
29201-2624
Phone Number
803-765-0700
Fax Number
803-765-1607
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3419 (South Carolina)
Definition
Definition to come...
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