Individual provider · Type 1 NPI

Autumn Gundrum

Addiction (Substance Use Disorder) Counselor · Mansfield, OH

NPI number 1700641404 Active

Practice location

680 Park Ave W
Mansfield, OH 44906-3706

Call (419) 528-5993 Map

Fax (567) 560-5483

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.193597 (OH)
Behavior Technician 106S00000XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1700641404

Autumn Gundrum's National Provider Identifier is 1700641404, issued on Feb 21, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mansfield, OH. The record was last updated on Feb 12, 2026.