NPI 1629122825 · live from the CMS NPI Registry
Sandra M Augustine, MA
Marriage & Family Therapist in Bremerton, WA. National Provider Identifier 1629122825, active.
NPI record
| NPI | 1629122825 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 5455 Almira Dr Se, Bremerton, WA 98311 |
| Practice phone | 360-373-5031 |
| Enumerated | January 23, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | LH00005152 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.