Individual
KATIE JOY AUSTRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14772 LIVINGSTON ST, TUSTIN, CA 92780-2622
(949) 282-3930
Mailing address
9844 RESEARCH DR STE 100, IRVINE, CA 92618-4381
(949) 859-0443
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234
—
CA
Enumeration date
07/30/2018
Last updated
04/05/2021
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