Individual
AUTUMN L NEWBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1804 HERIFORD RD, COLUMBIA, MO 65202-1942
(573) 639-1094
Mailing address
702 UPLAND CREEK RD, COLUMBIA, MO 65201-6786
(816) 352-2960
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017035087
MO
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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