Individual provider · Type 1 NPI

Autumn Basil Elam

Mental Health Counselor · Medford, OR

NPI number 1942814801 Active

Practice location

850 Swing Ln Unit 1
Medford, OR 97501-1790

Call (541) 622-8592 Map

Fax (541) 622-8593

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Other practice locations

  • 2016 Terrel Dr, Medford, OR 97501-8154 · (541) 622-8514

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1942814801

Autumn Basil Elam's National Provider Identifier is 1942814801, issued on Sep 8, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Apr 4, 2023.