Individual
AUTUMN ROSE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 W NORFOLK AVE STE 201, NORFOLK, NE 68701-5221
(402) 379-2030
(402) 379-3933
Mailing address
333 W NORFOLK AVE STE 201, NORFOLK, NE 68701-5221
(402) 379-2030
(402) 379-3933
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1547
NE
101YM0800X
Mental Health Counselor
14511
NE
Other
Enumeration date
05/06/2021
Last updated
04/13/2026
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