AUTUMN GUNDRUM
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1700641404
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | No | - |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | CDCA.193597 (OH) |
| Behavior Technician | 106S00000X | No | - |
Frequently Asked Questions
NPI 1700641404 is the National Provider Identifier for AUTUMN GUNDRUM, a Counselor - Addiction (Substance Use Disorder) provider located in Mansfield, OH. This NPI was enumerated on February 21, 2024.
AUTUMN GUNDRUM practices at 680 PARK AVE W, Mansfield, OH 44906.
Quick Facts
- NPI
- 1700641404
- Type
- Individual
- Enumerated
- Feb 21, 2024
- Last Updated
- Jan 16, 2026
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