KEVIN MICHAEL SOUTHERS

WILLIAMSON, WV
NPI1992460141
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-11-03
Last Update Date2021-11-03
Business Address
KEVIN MICHAEL SOUTHERS BA
1609 W 3RD AVE
WILLIAMSON, WV 25661-3006
Phone number: 304-932-0779
Mailing Address
KEVIN MICHAEL SOUTHERS BA
PO BOX 219
HOLDEN, WV 25625-0219
Phone number: 304-946-7269
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