Individual
MS. EDITH M AUGUSTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LCPC, LCAD-C
Contact information
Practice address
PO BOX 5004, BALTIMORE, MD 21220-0004
(410) 705-1331
(410) 938-2237
Mailing address
PO BOX 5004, BALTIMORE, MD 21220-0004
(410) 705-1331
(410) 938-2237
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA451
MD
101YM0800X
Mental Health Counselor
LC2284
MD
101YP2500X
Professional Counselor
Primary
93405
MD
Other
Enumeration date
07/06/2006
Last updated
04/23/2024
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