Individual
DONNA AUGUSTONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCAS-A
Contact information
Practice address
2321 CRABTREE BLVD STE 250, RALEIGH, NC 27604-2263
(919) 848-9108
Mailing address
107 SAINT JOHNS ST, KNIGHTDALE, NC 27545-7997
(919) 880-2828
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-20376
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101-YA0400X
—
NC
Enumeration date
06/04/2018
Last updated
06/04/2018
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