Augustine, Sandra M
Augustine, Sandra M is an individual health care provider with primary practice located at 5455 Almira Dr Se , Bremerton WA 98311-8330. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Augustine, Sandra M can be contacted via phone (360) 373-5031.Contact Information
Primary practice address
5455 Almira Dr Se
Bremerton WA 98311-8330
Phone: (360) 373-5031
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LH00005152 | Washington |
Profile Details
| NPI number | 1629122825 |
|---|---|
| LBN Legal business name | Augustine, Sandra M |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629122825 | NPPES |
| Washington | Other | 228303 | MANAGED HEALTH NETWORK |
| Washington | Other | 91102010657 | MANAGED HEALTH NETWORK |
| Washington | Other | A039 | MANAGED HEALTH NETWORK |
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