MS. Misty Rae Southall, LICSW, MHP, CPC
MS. Misty Rae Southall, LICSW, MHP, CPC is a Mental Health Counselor in Spokane, Washington. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2010
What do these letters mean?
Practice location Address checks out
312 W 8th AveSpokane, WA 99204-2506
Phone: (714) 336-6596
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 31849 (CA) |
|---|
Record details
| NPI number | 1487954145 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LICSW , MHP , CPC |
| Sole proprietor | Yes |
| NPI enumerated | October 28, 2010 |
| Last updated in NPPES | September 11, 2020 |
| Certification date | September 11, 2020 |
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