Individual
AUTUMN LEE MATSUTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CRC, LPC, NCC
Contact information
Practice address
1306 11TH AVE, GREELEY, CO 80631-3835
(970) 347-2125
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0020371
CO
Other
Enumeration date
09/09/2021
Last updated
03/07/2024
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