Individual
AUTTARIA SHINAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14749 RAGSDALE LN, ROANOKE, TX 76262-6854
(662) 706-0097
Mailing address
14749 RAGSDALE LN, ROANOKE, TX 76262-6854
(662) 706-0097
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99319
TX
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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