Autumn L Newby, LPC
Counselor, Professional in Columbia, MO. Individual provider (NPI-1).
NPI number1295331007
StatusActive
Last updated in NPPESDec 7, 2020
Details
- NPI
- 1295331007
- Entity type
- Individual (NPI-1)
- Name
- Autumn L Newby
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 7, 2020
- Certification date
- Dec 7, 2020
- Last updated
- Dec 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2017035087 | MO | Yes |
Practice location
1804 Heriford RdColumbia, MO 65202-1942
Phone 573-639-1094
Mailing address
702 Upland Creek RdColumbia, MO 65201-6786
Phone 816-352-2960
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