Organization
MICHAEL J. AUGUSTINE LMFT, LADC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J AUGUSTINE LMFT, LADC (OWNER)
(203) 414-5256
Entity
Organization
Contact information
Practice address
27 SIEMON COMPANY DR STE 360W, WATERTOWN, CT 06795-2654
(203) 414-5256
Mailing address
27 SIEMON COMPANY DR STE 360W, WATERTOWN, CT 06795-2654
(203) 414-5256
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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