person
Autumn Coan Austin I, MA,LPC,CSAC
Professional Counselor in Matthews, North Carolina
NPI 1699751107

Autumn Coan Austin I is a Professional Counselor based in Monroe, NC and is specialized in Professional. Autumn Coan Austin I practices in Matthews, NC and has the professional credentials of MA,LPC,CSAC. The NPI Number for Autumn Coan Austin I is 1699751107 and holds a License No. 1926 (North Carolina).

The current practice location address for Autumn Coan Austin I is 1135 Four Lakes Dr, Matthews, NC and can be reached out via phone at 704-651-0668 and via fax at 704-849-0883.

Location: 1135 Four Lakes Dr, Matthews, NC, 28110-8969
person
Provider Profile Details
NPI Number
1699751107
Provider Name
Autumn Coan Austin I
Credential
MA,LPC,CSAC
Provider Entity Type
Individual
Gender
Female
Address
1135 Four Lakes Dr, Matthews, NC, 28110-8969
Phone Number
704-651-0668
Fax Number
704-849-0883
Provider Enumeration Date
12/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9388174 01 NC PRIVATE HEALTH CARE SYST
1398G 01 NC BCBS
7167747 01 NC AETNA
184537 01 NC MEDCOST
6102931 05 NC
6102580 05 NC
institution
Provider Business Practice Location Address Details
Address
1135 Four Lakes Dr
City
State
Zip
28105-1721
Phone Number
704-651-0668
Fax Number
704-849-0883
person
Provider Business Mailing Address Details
Address
1135 Four Lakes Dr
City
State
Zip
28105-1721
Phone Number
704-651-0668
Fax Number
704-849-0883
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4817 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1926 (North Carolina)
Definition
Definition to come...
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