Individual
AUGUSTINE THABO SHIJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 N 16TH ST STE K, COUNCIL BLUFFS, IA 51501-0109
(712) 256-4420
Mailing address
110 S 35TH ST, COUNCIL BLUFFS, IA 51501-3286
(319) 595-3151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
136048
IA
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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