Individual
AUGUSTA LYNN WELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW 'R'
Contact information
Practice address
211 W 56TH ST APT 5J, NEW YORK, NY 10019-4316
(917) 763-2624
Mailing address
211 W 56TH ST APT 5J, NEW YORK, NY 10019-4316
(917) 763-2624
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
102L00000X
Psychoanalyst
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/10/2018
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