Individual provider · Type 1 NPI

Autumn Lynne Wilson, MA, LPCC

Mental Health Counselor · Mora, MN

NPI number 1053206490 Active

About NPI 1053206490

Autumn Lynne Wilson, MA, LPCC's National Provider Identifier is 1053206490, issued on Jun 9, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mora, MN. The record was last updated on Jun 9, 2025.