Individual
AUTUMN BECKTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 N LAKE AVE, LAKELAND, FL 33801-1908
(863) 519-0575
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
(863) 519-0575
(863) 582-9251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH21238
FL
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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