Organization
AUGUSTA WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTA AUCREMANNE LICSW (OWNER/CLINICAL SOCIAL WORKER)
(304) 680-4673
Entity
Organization
Contact information
Practice address
425 INDUSTRIAL AVE, MORGANTOWN, WV 26505-0347
(304) 680-4673
Mailing address
PO BOX 437, REEDSVILLE, WV 26547-0437
(304) 680-4673
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00942181
WV
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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