Individual
LEAH CATHERINE AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 W CHARLESTON BLVD STE O, LAS VEGAS, NV 89102-1633
(504) 723-8743
Mailing address
3262 MYSTIC RIDGE CT, LAS VEGAS, NV 89129-7541
(504) 723-8743
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CI5357
NV
101YM0800X
Mental Health Counselor
Primary
CI5357
NV
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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