Individual
AUTUMN N GOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8700 PENNSYLVANIA AVE, IRWIN, PA 15642-2715
(724) 863-7223
Mailing address
8700 PENNSYLVANIA AVE, IRWIN, PA 15642-2715
(724) 863-7223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC014410
PA
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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