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Individual

AUGUSTA F KANTRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
150 S CHURCH ST, FAIRHOPE, AL 36532-1569
(251) 928-5363
(251) 990-4962
Mailing address
150 S CHURCH ST, FAIRHOPE, AL 36532-1569
(251) 928-5363
(251) 990-4962

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1576
AL

Other

Enumeration date
10/20/2006
Last updated
07/08/2007
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