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Autumn Young

Counselor, Professional in Charlotte, NC. Individual provider (NPI-1).

NPI number1104736719
StatusActive
Last updated in NPPESSep 8, 2026

Details

NPI
1104736719
Entity type
Individual (NPI-1)
Name
Autumn Young
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 8, 2026
Certification date
Sep 8, 2026
Last updated
Sep 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes

Practice location

5855 Executive Center Dr Ste 105
Charlotte, NC 28212-8880

Phone 704-366-8712

Mailing address

6220 Thermal Rd
Charlotte, NC 28211-5630

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