Individual provider · Type 1 NPI

Fayola Autry, MPH

Mental Health Counselor · Oakland, CA

NPI number 1831436997 Active

Practice location

4368 Lincoln Ave
Oakland, CA 94602-2529

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
School Counselor 101YS0200XNone listed

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About NPI 1831436997

Fayola Autry, MPH's National Provider Identifier is 1831436997, issued on Jan 9, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oakland, CA. The record was last updated on Jan 15, 2013.