| Doctor Name: | JAMES H SOUTHERN |
| NPI Number: | 1285708412 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 3091 |
| Business Practice Address: | 2808 S Croatan Hwy Suite A Nags Head, NC - 279599024 |
| Business Phone Number: | 2524494011 |
| Business Fax Number: | 2524494050 |
| Mailing Address: | 170 Sherwood Dr, MANTEO |
| State: | NC |
| Postal Code: | 279549569 |
| Phone Number: | 2524736436 |
| Fax Number: | |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 3091 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |