Autumn Vaca, LMFTA is a
Marriage & Family Therapist based in North Wilkesboro, North Carolina. Autumn Vaca is licensed to practice in North Carolina (license number 12139A) and her current practice location is
1400 Willow Ln, North Wilkesboro, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(336) 667-5151.
NPI number for Autumn Vaca is 1306307806 and her current mailing address is 284 Executive Park Dr Ste 100, Concord, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306307806.
Healthcare Provider's Profile
Full Name | Autumn Vaca |
---|
Gender | Female |
---|
Speciality | Marriage & Family Therapist |
---|
Location | 1400 Willow Ln, North Wilkesboro, North Carolina |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306307806
- Provider Enumeration Date: 03/27/2019
- Last Update Date: 07/22/2019
Medical Identifiers
Medical identifiers for Autumn Vaca such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306307806 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 12139A (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Autumn Vaca is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Autumn Vaca, LMFTA 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 Ph: (704) 939-1100 | Autumn Vaca, LMFTA 1400 Willow Ln, North Wilkesboro, NC 28659-3551 Ph: (336) 667-5151 |
Reviews and Comments