Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN STEPHEN AUTRY
Active Sole ProprietorMarriage & Family Therapist · BLACKSHEAR, GA
Registration Details
- NPI Number
- 1619002003
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 23, 2007 (19.166628468492 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MFT000386 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
901 COLLEGE AVEBLACKSHEAR, GA, 31516Browse GA providers · Browse ZIP 31516
- Phone
- 9124492714
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.