Individual
AUTUMN VINCIQUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5800 GLENWOOD AVE, MAPLE HEIGHTS, OH 44137-3700
(216) 438-6020
Mailing address
1801 ROCKEFELLER RD, WICKLIFFE, OH 44092-1939
(440) 231-1994
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2844093
—
OH
Enumeration date
06/20/2016
Last updated
08/25/2025
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