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General NPI Number Information
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NPI Number | 1356200661
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Entity Type | Organization
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Legal Business Name | AUGUST MOON COUNSELING PLLC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 5300 TOWN AND COUNTRY BLVD STE 240
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City | FRISCO
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State | TX
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Zip | 75034-1008
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Country | US
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Telephone | 469-262-9965
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Fax |
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Provider Business Mailing Address
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Address Line | 5300 TOWN AND COUNTRY BLVD STE 240
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City | FRISCO
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State | TX
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Zip | 75034-1008
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Country | US
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Telephone | 469-262-9965
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AGNES AUGUSTINE
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Credential | LPC,LCDC
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Telephone | 469-262-9965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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