Individual
AUDREY AUGUSTAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 WAYNE ST, JERSEY CITY, NJ 07302-3541
(201) 632-5554
Mailing address
103 FARRINGTON RD, MATAWAN, NJ 07747-6405
(201) 562-3162
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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