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Miss Autumn Victoria Grace Hampton, MASTERSPSYCHOLOGY
Counselor in Edgewater, Florida
NPI 1699370809

Autumn Victoria Grace Hampton is a Counselor based in Edgewater, FL. Autumn Victoria Grace Hampton practices in Edgewater, FL and has the professional credentials of MASTERSPSYCHOLOGY. The NPI Number for Autumn Victoria Grace Hampton is 1699370809 and holds a License No. (Florida).

The current practice location address for Autumn Victoria Grace Hampton is 648 Coral Trace Blvd, Edgewater, FL and can be reached out via phone at 606-259-6072.

Location: 648 Coral Trace Blvd, Edgewater, FL, 32132-6942
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699370809
Provider Name
Autumn Victoria Grace Hampton
Credential
MASTERSPSYCHOLOGY
Provider Entity Type
Individual
Gender
Female
Address
648 Coral Trace Blvd, Edgewater, FL, 32132-6942
Phone Number
606-259-6072
Fax Number
Provider Enumeration Date
12/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
648 Coral Trace Blvd
City
Edgewater
State
Florida
Zip
32132-6942
Phone Number
606-259-6072
Fax Number
person
Provider Business Mailing Address Details
Address
648 Coral Trace Blvd
City
Edgewater
State
Florida
Zip
32132-6942
Phone Number
606-259-6072
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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