Individual
MS. ANGELIQUE MONIQUE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6706 N 9TH AVE, SUITE B-5, PENSACOLA, FL 32504-9303
(850) 466-3200
Mailing address
5126 TERRA LAKE CIR, PENSACOLA, FL 32507-9092
(850) 619-3230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008355300
—
FL
Enumeration date
02/24/2013
Last updated
03/31/2015
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