Individual
AUTUMNE RENE' HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
404 W 2ND ST, MOUNT PLEASANT, TX 75455-3841
(903) 577-1224
Mailing address
PO BOX 2060, MOUNT PLEASANT, TX 75456-2060
(903) 577-1224
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
20337
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7319LC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/07/2006
Last updated
07/08/2007
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