AUTUMN IRVINE SUDP CAAR NPI 1871029140

NPI Information

Autumn Irvine, SUDP, CAAR is a counselor in Kelso, WA. The provider is 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. Autumn Irvine, SUDP, CAAR NPI is 1871029140. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

404 W MAIN ST
KELSO, WA
ZIP 98626-118
Phone: (360) 423-2806
Fax: (360) 423-5128

The enumeration date for this NPI number is 5/5/2017 and was last updated on 2/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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