DAVID SOUTHALL

ROANOKE, VA
NPI1245955731
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: VA  0701011817)
Enumeration Date2022-10-06
Last Update Date2022-10-06
Business Address
DAVID SOUTHALL LPC
3807 BRANDON AVE SW # 1115
ROANOKE, VA 24018-1490
Phone number: 540-342-1261
Mailing Address
DAVID SOUTHALL LPC
3807 BRANDON AVE SW # 1115
ROANOKE, VA 24018-1490
Phone number: 540-342-1261