Individual
JENNY AUGUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA #A15419
Contact information
Practice address
733 WINDGATE DR, WILMINGTON, NC 28412-3195
(650) 302-4213
Mailing address
733 WINDGATE DR, WILMINGTON, NC 28412-3195
(650) 302-4213
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15419
NC
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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