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Donnell Southall
Mental Health Counselor in Riverside, California
NPI 1922453380

Donnell Southall is a Mental Health Counselor based in Riverside, CA and is specialized in Mental Health. Donnell Southall practices in Riverside, CA. The NPI Number for Donnell Southall is 1922453380 and holds a License No. (California).

The current practice location address for Donnell Southall is 3125 Myers St, Riverside, CA and can be reached out via phone at 951-358-4840.

Location: 3125 Myers St, Riverside, CA, 92503-3614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922453380
Provider Name
Donnell Southall
Credential
Provider Entity Type
Individual
Gender
Male
Address
3125 Myers St, Riverside, CA, 92503-3614
Phone Number
951-358-4840
Fax Number
Provider Enumeration Date
05/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3125 Myers St
City
Riverside
State
California
Zip
92503-5527
Phone Number
951-358-4840
Fax Number
person
Provider Business Mailing Address Details
Address
3125 Myers St
City
Riverside
State
California
Zip
92503-5527
Phone Number
951-358-4840
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
1041S0200X
License No.
(California)
Definition
Definition to come...
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