Kevin Michael Southers, BA
NPI #1992460141 in Williamson, West Virginia
Provider Information
- NPI Number
- 1992460141
- Entity Type
- Individual
- Name
- Kevin Michael Southers, BA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- BA
- Enumeration Date
- Nov 3, 2021
- Last Updated
- Nov 3, 2021
Practice Location
- Address
- 1609 W 3RD AVE
- City
- Williamson
- State
- West Virginia
- ZIP Code
- 25661-3006
- Phone
- (304) 932-0779
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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