Individual provider · Type 1 NPI

Autumn E. S. R. Fancher, LPCC

Professional Counselor · Coon Rapids, MN

NPI number 1508456591 Active

Practice location

11660 Round Lake Blvd NW
Coon Rapids, MN 55433-2638

Call (763) 767-3350 Map

Fax (763) 767-0912

Mailing address

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4936 (MN)

Professional Counselor: Definition to come...

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About NPI 1508456591

Autumn E. S. R. Fancher, LPCC's National Provider Identifier is 1508456591, issued on Jan 22, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Coon Rapids, MN. The record was last updated on Sep 4, 2026.