Individual
MS. AUDREY SUE AUTREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC, NCC
Contact information
Practice address
620 N CRAYCROFT RD, TUCSON, AZ 85711-1448
(520) 519-8550
(520) 747-3260
Mailing address
1477 W COMMERCE CT, TUCSON, AZ 85746-6016
(520) 792-3293
(520) 792-4336
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0088691
NM
101YP2500X
Professional Counselor
Primary
15321
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11967721
CAQH
—
Enumeration date
10/11/2006
Last updated
12/07/2020
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