Individual
AUTUMN FAYE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 NW NEWCASTLE ST, ROSEBURG, OR 97471-1657
(541) 672-9596
Mailing address
1377 SE LANE AVE, ROSEBURG, OR 97470-3915
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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