Individual
CHARLES AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 542-9739
Mailing address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 542-9700
(706) 227-7249
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MSW003411
GA
Other
Enumeration date
01/27/2006
Last updated
02/12/2008
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