Individual
AUTUMN SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDRC
Contact information
Practice address
2844 COLOMA ST, PLACERVILLE, CA 95667-4406
(530) 642-1715
(530) 642-2064
Mailing address
PO BOX 1666, PLACERVILLE, CA 95667-1666
(530) 642-1715
(530) 642-2064
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10824
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1360580819
CA
171M00000X
Case Manager/Care Coordinator
Primary
10824
CA
Other
Enumeration date
03/09/2020
Last updated
04/28/2021
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