NPI 1053869461

Nicole Augustine

Practitioner Counselor South Elgin, IL

Practice location

Address: 418 N. Center Street, South Elgin, IL 60177
Phone: (224) 281-4852
Mailing address: 695 S State St, Elgin, IL 60123-7673

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

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Registry record

NPI: 1053869461
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Sep 2016
Record last updated: 14 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.