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John South, LPC

Counselor, Mental Health in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1154534618
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1154534618
Entity type
Individual (NPI-1)
Name
Mr. John South
Credential
LPC
Sex
Male
Sole proprietor
No
Enumeration date
May 8, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health492OKYes

Practice location

2512 S. Harvey
Oklahoma City, OK 73109

Phone 405-810-9578 · Fax 405-810-9597

Mailing address

4436 N.W. 50th
Oklahoma City, OK 73112

Phone 405-858-2733 · Fax 405-858-2810

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