Individual
BRIDGETT L AUGUSTINO-WILKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., PHD, CCJP
Contact information
Practice address
514 HILL ST, SPRINGFIELD, TN 37172-2902
(615) 985-2424
(615) 645-7333
Mailing address
514 HILL ST, SPRINGFIELD, TN 37172-2902
(615) 985-2424
(615) 645-7333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1509
VA
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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