Individual
AUTUMN MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3915 OLD LEE HWY STE 23A, FAIRFAX, VA 22030-2432
(757) 942-5140
Mailing address
932 CENTERFIELD PL APT 206, VIRGINIA BEACH, VA 23464-3591
(412) 589-4890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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