Individual
JENNIFER AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1205 GOLDEN EAGLE DR, TROY, OH 45373-8017
(937) 875-0343
Mailing address
1205 GOLDEN EAGLE DR, TROY, OH 45373-8017
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1200609
OH
Other
Enumeration date
01/31/2015
Last updated
01/31/2015
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