Autumn Vaca LMFTA
Marriage & Family Therapist in North Wilkesboro, NC(View on Map)
Full Name
Autumn Vaca LMFTA
NPI Number
1306307806
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/27/2019
Specialties
(Taxonomies)Licenses
State
North Carolina
License Number
12139A
Contact
Information
Purpose
Mailing
Location
Address
284 EXECUTIVE PARK DR STE 100
1400 WILLOW LN
City
Concord
North Wilkesboro
State
NC
NC
Postal Code
28025-1833
28659-3551
Country
US
US
Telephone Number
(704) 939-1100
(336) 667-5151
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/22/2019