Individual
JACQUELYN EILEEN AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1415 BOND ST STE 127, NAPERVILLE, IL 60563-2769
(630) 355-9002
Mailing address
1415 BOND ST, NAPERVILLE, IL 60563-2388
(630) 355-9002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
071008317
IL
Other
Enumeration date
10/04/2010
Last updated
01/17/2022
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