David Southall, LPC
Counselor, Professional in Roanoke, VA. Individual provider (NPI-1).
NPI number1245955731
StatusActive
Last updated in NPPESOct 6, 2022
Details
- NPI
- 1245955731
- Entity type
- Individual (NPI-1)
- Name
- David Southall
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 6, 2022
- Certification date
- Oct 6, 2022
- Last updated
- Oct 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701011817 | VA | Yes |
Practice location
3807 Brandon Ave Sw # 1115Roanoke, VA 24018-1490
Phone 540-342-1261
Mailing address
3807 Brandon Ave Sw # 1115Roanoke, VA 24018-1490
Phone 540-342-1261
Other practice locations
930 Cambria St Ne
Christiansburg, VA 24073-1631
Christiansburg, VA 24073-1631
Phone 540-342-1261
401 N Jefferson St
Galax, VA 24333-2858
Galax, VA 24333-2858
Phone 276-601-2904
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