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Individual

MS. AUTUMN MANFREDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
165 E PARK AVE, NILES, OH 44446-2352
(330) 544-8005
(330) 544-9379
Mailing address
170 SUMMERBERRY LN, NILES, OH 44446-2136
(330) 974-5130

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
Primary
E.606598
103K00000X
Behavior Analyst
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
08/20/2019
Last updated
03/10/2026
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