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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRADFORD LAVOID SOUTHERN, LPC

Active

BRADFORD LAVOID SOUTHERN, LPC is a Mental Health Counselor healthcare provider located in GADSDEN, Alabama. NPI 1104446343 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · GADSDEN, AL

Registration Details

NPI Number
1104446343
Provider Type
Individual
Gender
Male
NPI Issued
Apr 17, 2020 (6.3012645602023 yrs)
Last Updated
Mar 18, 2022
Licenses
4619 (AL)
4619 (AL)
C3519A (AL)
4619 (AL)

Practice Information

Address
1519 RAINBOW DR
GADSDEN, AL, 359015326
Browse AL providers · Browse ZIP 35901
Phone
2564598255
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor
Additional Specialty
Mental Health Counselor
Additional Specialty
Professional Counselor
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in GADSDEN, AL

Name Credential NPI
RENAE BEVEL LPC 1902806953
SUSAN HENRY LCSW 1164422135
BESS ESTIS LCSW 1447250402
JANET LAWSON LPC 1053312058
SANDRA BIDDY LPC 1255332078
WANDA WELLS LPC 1740281575
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.