Individual
CASSANDRA AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2560 N HEALTHY WAY, FREMONT, NE 68025-2315
(402) 941-7245
Mailing address
825 S 169TH ST, OMAHA, NE 68118-9300
(402) 354-3370
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
13637
NE
101YM0800X
Mental Health Counselor
Primary
13637
NE
101YP2500X
Professional Counselor
13637
NE
Other
Enumeration date
10/03/2023
Last updated
06/13/2024
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