Individual
SANDRA M AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5455 ALMIRA DR SE, BREMERTON, WA 98311-8330
(360) 373-5031
Mailing address
5455 ALMIRA DR SE, BREMERTON, WA 98311-8330
(360) 373-5031
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LH00005152
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228303
MANAGED HEALTH NETWORK
WA
01
—
91102010657
KITSAP PHYSICIANS SERVICE
WA
01
—
A039
TRICARE
WA
Enumeration date
01/23/2007
Last updated
07/08/2007
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