Individual provider · Type 1 NPI

Autumn Campbell

Mental Health Counselor · Grand Rapids, MI

NPI number 1740154111 Active

Practice location

4500 Cascade Rd SE
Grand Rapids, MI 49546-3665

Mailing address

4793 Wakefield Ave NE
Comstock Park, MI 49321-8958

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X451024603 (MI)

Mental Health Counselor: Definition to come...

12 other providers at this address

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About NPI 1740154111

Autumn Campbell's National Provider Identifier is 1740154111, issued on Sep 30, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 30, 2025.