Individual
KETTY AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC, LCPC
Contact information
Practice address
1410 CRAIN HWY N, GLEN BURNIE, MD 21061-9303
(410) 553-4450
Mailing address
1410 CRAIN HWY N, GLEN BURNIE, MD 21061-9303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
01/10/2024
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