Individual
MR. MICHAEL GUY AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PC
Contact information
Practice address
2240 WINROW AVE, USA MEDDAC, RWBAHC, FORT HUACHUCA, AZ 85613
(520) 533-2071
Mailing address
351 MONTRIDGE DR, CANFIELD, OH 44406-1230
(330) 717-6526
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C 0900387
OH
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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