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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUTUMN IRVINE, SUDP, CAAR

Active

AUTUMN IRVINE, SUDP, CAAR is a Counselor healthcare provider located in KELSO, Washington. NPI 1871029140 is currently active in the NPPES registry. Verify at CMS.

Counselor · KELSO, WA

Registration Details

NPI Number
1871029140
Provider Type
Individual
Gender
Female
NPI Issued
May 5, 2017 (9.1329868557338 yrs)
Last Updated
Feb 28, 2023
Licenses
CP 60188084 (WA)
CG61313331 (WA)

Practice Information

Address
404 W MAIN ST
KELSO, WA, 986261118
Browse WA providers · Browse ZIP 98626
Phone
3604232806
Fax
3604235128
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Counselor

Other Counselor Providers in KELSO, WA

Name Credential NPI
JOHN DUFFIN MCSHANE II MA 1285925750
DEE J.F. WITT MS 1265789879
MS. RENE KERRY BOHANNON-OXFORD LMHC 1033468822
KEISHA LEE 1902225501
MS. MORGAN HOPE MCANALLY MA 1811373079
MATTHEW LEWIS SPURLOCK 1457841215
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.