Individual provider · Type 1 NPI
Autumn Owodunni
Mental Health Counselor · Manchester, CT
NPI number
1104254432
Active
Practice location
265 Slater St Apt 416
Manchester, CT 06042-8922
Mailing address
110 Maple St
Springfield, MA 01105-1864
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 6724 (CT) |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1104254432
Autumn Owodunni's National Provider Identifier is 1104254432, issued on Oct 23, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manchester, CT. The record was last updated on Nov 9, 2023.