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AUTUMN COAN AUSTIN MA, LPC, CSAC

Addiction Substance Use Disorder

Matthews, North Carolina

Provider NPI: 1699751107

Provider Information:
 AUTUMN COAN AUSTIN MA, LPC, CSAC
Gender: F
Sole Proprietor


Practice Location:
1135 FOUR LAKES DR SUITE A MATTHEWS, NC 28105 US
Tel: 704-651-0668  Fax: 704-849-0883

Business Mailing Address:
2030 BONANZA RD  MONROE, NC 28110 US
Tel: 704-225-7550  Fax: 704-849-0883

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
NC1926
X101YP2500XBehavioral Health & Social Service Providers
Counselor
NC4817

Other Provider Identifiers:

IssuerNumberStateType
MEDCOST184537NC01
6102931NC05
BCBS1398GNC01
AETNA7167747NC01
PRIVATE HEALTH CARE SYST9388174NC01
6102580NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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