Individual
AUTUMN A CARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
215 E MAIN ST, NEWARK, OH 43055-6220
(740) 899-4005
(740) 899-4023
Mailing address
215 E MAIN ST, NEWARK, OH 43055-6220
(740) 899-4005
(740) 899-4023
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
174316
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.174316
OH
Other
Enumeration date
08/13/2019
Last updated
12/16/2024
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