IndividualActive
Autumn Self, MS, LCGC
NPI 1245094333 · Genetic Counselor (M.S.) · Wilmington, DE
Provider details
- NPI number
- 1245094333
- Entity type
- Individual
- Primary specialty
- Genetic Counselor (M.S.)Other Service Providers
- Credential
- MS, LCGC
- Sex
- Female
- Sole proprietor
- No
- License
- CG-0010538 (DE)
Specialties & taxonomies
Other Service Providers
Practice location
1600 Rockland Rd
Wilmington, DE 19803-3607
Phone: (302) 553-7362
Approximate (ZIP-level) locationGet directions
Mailing address
921 Lombard St Apt B
Philadelphia, PA 19147-1259
Registry dates
- Enumerated
- 2024-02-08
- Last updated
- 2024-02-08
- Certified
- 2024-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.