Organization
AUTUMN THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA ELAINE JOHNSON LMFT (OWNER)
(541) 697-4863
Entity
Organization
Contact information
Practice address
131 NW HAWTHORNE AVE STE 103, BEND, OR 97703-2957
(541) 697-4863
(541) 229-1249
Mailing address
131 NW HAWTHORNE AVE STE 103, BEND, OR 97703-2957
(541) 697-4863
(541) 229-1249
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
08/30/2023
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