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NPI Code Detail

MEDICARE: ALLISON AUGUSTINE CT

MEDICARE: ALLISON AUGUSTINE CT
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 CounselorC.2607444-TRNEOH

General Provider Information

NPI Number : 1831056001
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON AUGUSTINE CT
Provider Business Mailing Address
First Line : 211 FAWN LN
Second Line :
City : CORTLAND
State : OH
Zip : 44410-2608
Country : US
Telephone Number : 330-718-3618
Fax Number :
Provider Business Practice Location Address
First Line : 430 FRANKLIN ST SE
Second Line :
City : WARREN
State : OH
Zip : 44483-5715
Country : US
Telephone Number : 330-372-2220
Fax Number : 330-372-2260
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ ALLISON AUGUSTINE CT” Practice Location

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