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Individual

BRIDGET AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.A.S.

Contact information

Practice address
102 W MAIN ST, SAN JACINTO, CA 92583-4121
(951) 327-5104
(951) 929-6469
Mailing address
102 WEST MAIN STREET, SAN JACINTO, CA 92583-2722
(951) 327-5104
(951) 929-6469

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/15/2007
Last updated
03/24/2008
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