Autumn Anthony
Autumn Anthony is a Mental Health Counselor in Minco, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
408 NW Pontotoc StMinco, OK 73059-2070
Phone: (405) 414-0179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X (OK) |
Record details
| NPI number | 1760078653 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 15, 2020 |
| Last updated in NPPES | June 25, 2024 |
| Certification date | June 25, 2024 |
| Mailing address | 408 Nw Pontotoc St, Minco, OK 73059-2070 |