Jacquelyn E Augustine Psy.d PC

NPI #1083366470 in New Lenox, Illinois

Provider Information

NPI Number: 1083366470
Entity Type: Organization
Organization Name: Jacquelyn E Augustine Psy.d PC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 26, 2022
Last Updated: Feb 22, 2022

Practice Location

Address: 1938 E LINCOLN HWY
City: New Lenox
State: Illinois
ZIP Code: 60451-3810
Phone: (708) 214-2448

Authorized Official

Name: JACQUELYN E AUGUSTINE, PSYD
Title: PRESIDENT
Phone: (708) 214-2448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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