Autumn Kaylen Mize, LCMHC-A
NPI #1881430023 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1881430023
- Entity Type
- Individual
- Name
- Autumn Kaylen Mize, LCMHC-A
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCMHC-A
- Enumeration Date
- Jul 8, 2024
- Last Updated
- Jul 8, 2024
Practice Location
- Address
- 1314 ECOLA VALLEY CT
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-4915
- Phone
- (984) 212-2757
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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