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Individual

MS. EDITH M AUGUSTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NCC, LCPC, LCAD-C

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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