Individual
MRS. AUTUMN ROSE RABORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, NCC
Contact information
Practice address
1658 LEE VICTORY PKWY, UNIT 530, SMYRNA, TN 37167
(615) 208-3784
Mailing address
1658 LEE VICTORY PKWY, UNIT 530, SMYRNA, TN 37167
(615) 208-3784
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4752
TN
101YM0800X
Mental Health Counselor
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Other
Enumeration date
06/25/2018
Last updated
04/19/2023
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