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Individual

RANDOLPH AUGUSTEEN JR DESTIN

Active
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Individual

RANDOLPH AUGUSTEEN JR DESTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17516
NY
101YM0800X
Mental Health Counselor
Primary
016841-01
NY

Other

Enumeration date
01/25/2017
Last updated
01/21/2026
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