NPI 1013632926

Autumn McDonald

Practitioner Counselor Fairfax, VA

Practice location

Address: 3915 Old Lee Hwy STE 23a, Fairfax, VA 22030-2432
Phone: (757) 942-5140
Mailing address: 932 Centerfield Pl APT 206, Virginia Beach, VA 23464-3591

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

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Registry record

NPI: 1013632926
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Oct 2022
Record last updated: 4 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.