Individual
AUTUMN DAWN CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
605 BUSHNELL CT, VIRGINIA BEACH, VA 23451-7113
(757) 613-0926
Mailing address
605 BUSHNELL CT, VIRGINIA BEACH, VA 23451-7113
(757) 613-0926
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701016204
VA
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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