Individual
AMANDA MARIE AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
460 SPRING ST, JEFFERSONVILLE, IN 47130-3452
(812) 723-4301
Mailing address
522 KENTUCKY AVE, LOUISVILLE, KY 40222-4712
(630) 217-3534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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