Individual
AUTUMN WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 E ARCH ST, MADISONVILLE, KY 42431-2063
(270) 491-3942
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
(866) 460-2997
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
275368
KY
104100000X
Social Worker
Primary
258804
KY
Other
Enumeration date
04/05/2022
Last updated
02/12/2024
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