LUCAS SOUTHWORTH
Counselor - Mental Health
Active
Individual
NPI: 1477391522
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | - |
Frequently Asked Questions
NPI 1477391522 is the National Provider Identifier for LUCAS SOUTHWORTH, a Counselor - Mental Health provider located in Springfield, OR. This NPI was enumerated on July 15, 2024.
LUCAS SOUTHWORTH practices at 3995 MARCOLA RD, Springfield, OR 97477.
Quick Facts
- NPI
- 1477391522
- Type
- Individual
- Enumerated
- Jul 15, 2024
- Last Updated
- Jul 15, 2024
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