Individual
MRS. KRISTIN VANHOUSEN AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 MACTANLY PL STE B, STAUNTON, VA 24401-2383
(540) 885-3481
(540) 885-3508
Mailing address
100 MACTANLY PL STE B, STAUNTON, VA 24401-2383
(540) 885-3481
(540) 885-3508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003728
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084369
SOUTHERN HEALTH / SENTARA
—
01
—
174711
COMPSYCH
—
01
—
2067108
CIGNA
—
01
—
283034
MAMSI
—
01
—
318093
ANTHEM
VA
Enumeration date
08/30/2006
Last updated
07/08/2007
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