| Michael J. Augustine Lmft, Ladc, Llc | |
|
27 Siemon Company Dr Ste 360w Watertown CT 06795-2654 | |
| (203) 414-5256 | |
| Not Available |
| Full Name | Michael J. Augustine Lmft, Ladc, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 27 Siemon Company Dr Ste 360w, Watertown, Connecticut |
| Authorized Official Name and Position | Michael J Augustine (OWNER) |
| Authorized Official Contact | 2034145256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Augustine Lmft, Ladc, Llc 27 Siemon Company Dr Ste 360w Watertown CT 06795-2654 Ph: (203) 414-5256 | Michael J. Augustine Lmft, Ladc, Llc 27 Siemon Company Dr Ste 360w Watertown CT 06795-2654 Ph: (203) 414-5256 |
| NPI Number | 1861039786 |
|---|---|
| Provider Enumeration Date | 12/10/2019 |
| Last Update Date | 12/10/2019 |
| Certification Date | 12/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861039786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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