MISTY RAE SOUTHALL

SPOKANE, WA
NPI1487954145
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  31849)
Enumeration Date2010-10-28
Last Update Date2020-09-11
Business Address
Ms. MISTY RAE SOUTHALL LICSW, MHP, CPC
312 W 8TH AVE
SPOKANE, WA 99204-2506
Phone number: 714-336-6596
Mailing Address
Ms. MISTY RAE SOUTHALL LICSW, MHP, CPC
312 W 8TH AVE
SPOKANE, WA 99204-2506
Phone number: 509-477-4677
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