Organization
AUGUSTINE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W. AUGUSTINE LMFT (OWNER)
(203) 543-3245
Entity
Organization
Contact information
Practice address
2030 STRAITS TPKE, MIDDLEBURY, CT 06762-1831
(203) 543-3245
Mailing address
2030 STRAITS TPKE, MIDDLEBURY, CT 06762-1831
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000994
CT
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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