Individual provider · Type 1 NPI
John Stephen Autry
Marriage & Family Therapist · Blackshear, GA
Practice location
901 College Ave
Blackshear, GA 31516
Mailing address
901 College Avenue
Blackshear, GA 31516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | MFT000386 (GA) |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
About NPI 1619002003
John Stephen Autry's National Provider Identifier is 1619002003, issued on Feb 23, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Blackshear, GA. The record was last updated on Jul 8, 2007.