Individual
MRS. AUTUMN ASHLEY DEKOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LMHP, CAADC
Contact information
Practice address
1465 41ST ST STE 6, MOLINE, IL 61265-2579
(309) 232-8669
(309) 326-4521
Mailing address
1465 41ST ST STE 6, MOLINE, IL 61265-2579
(309) 232-8669
(093) 326-4521
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
36433
IL
101YP2500X
Professional Counselor
108785
IA
101YP2500X
Professional Counselor
Primary
180.013574
IL
Other
Enumeration date
04/23/2019
Last updated
09/01/2025
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