Individual
AUGUSTINA O JOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1642 E CARDINAL DR, CASA GRANDE, AZ 85122-6315
(713) 909-6953
Mailing address
1642 E CARDINAL DR, CASA GRANDE, AZ 85122-6315
(713) 909-6953
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
BH4920
AZ
Other
Enumeration date
09/15/2015
Last updated
05/19/2022
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