MEDICARE: WILLIAM RUSSELL AUGER LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	2315	FL

General Provider Information

NPI Number	:	1184908709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM RUSSELL AUGER LMHC

Provider Business Mailing Address
First Line	:	1583 OLD HUNTERS TRCE
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-6150
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4170 ASHFORD DUNWOODY RD NE
Second Line	:	SUITE 100
City	:	ATLANTA
State	:	GA
Zip	:	30319-1442
Country	:	US
Telephone Number	:	800-548-6549
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2011
Last Update Date	:	09/30/2011

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