SearchSouth Carolina104100000X

Joel Southerlin, LISW-CP

NPI 1710294152 · on the registry since 2010 · sole proprietor

Practice

Address
3420 Pine Belt Rd
Columbia, SC 29204
Phone
(803) 691-9861

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-04-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina