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Individual

ASHLEY JUSTINE KOACH AUTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
98 W SHIPYARD RD, MOUNT PLEASANT, SC 29464-6658
(843) 670-2264
Mailing address
98 W SHIPYARD RD, MOUNT PLEASANT, SC 29464-6658

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SC

Other

Enumeration date
02/05/2026
Last updated
02/05/2026
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