Individual
FRANCES M. AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC,ICS,IDP/AT
Contact information
Practice address
810 W OLIN AVE, MADISON, WI 53715-2142
(608) 255-5922
(608) 255-0340
Mailing address
810 W OLIN AVE, MADISON, WI 53715-2142
(608) 255-5922
(608) 255-0340
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15510130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417112780
—
WI
Enumeration date
07/25/2008
Last updated
12/17/2012
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