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NPI Code Detail

MEDICARE: REBECCA AUGUSTIN

MEDICARE: REBECCA AUGUSTIN
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
1101YM0800XMental Health Counselor
2106H00000XMarriage & Family Therapist154601CA
3225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1770870842
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA AUGUSTIN
Provider Business Mailing Address
First Line : 1235 N CALIFORNIA AVE
Second Line :
City : BEAUMONT
State : CA
Zip : 92223-1447
Country : US
Telephone Number : 714-883-9938
Fax Number :
Provider Business Practice Location Address
First Line : 72710 E LYNN ST
Second Line :
City : THOUSAND PALMS
State : CA
Zip : 92276-3312
Country : US
Telephone Number : 951-854-3483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2011
Last Update Date : 02/02/2026

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Directions to “ REBECCA AUGUSTIN ” Practice Location

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