Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JANIS MARIE SOUTHWORTH, MA PC-TC
Active Sole ProprietorMS. JANIS MARIE SOUTHWORTH, MA PC-TC is a Professional Counselor healthcare provider located in MEDFORD, Wisconsin. NPI 1235562737 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · MEDFORD, WI
Registration Details
- NPI Number
- 1235562737
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 20, 2013 (12.945884689195 yrs)
- Last Updated
- Oct 22, 2014
- License
-
1773-226 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
136 W BROADWAY AVEMEDFORD, WI, 544511757Browse WI providers · Browse ZIP 54451
- Phone
- 7157484535
- Fax
- 7157480627
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in MEDFORD, WI
| Name | Credential | NPI |
|---|---|---|
| CINTHIA P WIEBUSCH | LPC | 1427007129 |
| SHANE ARTHUR ZERTLER | — | 1891032058 |
| LAURIE HOFFMAN | MA, LPC | 1225404361 |
| DANIELLE E PETERSON | CSAC, LPC | 1255875654 |
| DANIEL RINEHART | — | 1801682372 |
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.