Individual
DENA MARIE AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 W 26TH ST, NORTHAMPTON, PA 18067-1114
(610) 772-3771
Mailing address
265 W 26TH ST, NORTHAMPTON, PA 18067-1114
(610) 772-3771
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC012067
PA
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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