MS. Misty Rae Southall, LICSW, MHP, CPC is a mental health counselor in Spokane, WA. MS. Misty Rae Southall, LICSW, MHP, CPC NPI is 1487954145. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
312 W 8TH AVE
SPOKANE, WA
ZIP 99204-506
Phone: (714) 336-6596
The NPI 1487954145 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).
The enumeration date for this NPI number is 10/28/2010 and was last updated on 9/11/2020.