Mary Elizabeth Southard, LMHC

NPI #1164810867 in Macclenny, Florida

Provider Information

NPI Number: 1164810867
Entity Type: Individual
Name: Mary Elizabeth Southard, LMHC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LMHC
Enumeration Date: Jan 3, 2015
Last Updated: May 31, 2024

Practice Location

Address: 213 E MACCLENNY AVE
City: Macclenny
State: Florida
ZIP Code: 32063-2121
Phone: (904) 400-0517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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