Individual
CATHY J AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
615 S 8TH ST, SHEBOYGAN, WI 53081-4463
(920) 323-2188
Mailing address
1139 TWILIGHT DR, DE PERE, WI 54115-1361
(920) 338-9497
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11559-132
WI
106H00000X
Marriage & Family Therapist
326-228
WI
Other
Enumeration date
08/10/2010
Last updated
04/02/2014
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