Individual provider · Type 1 NPI
Agustina Fougere, MA LPC
Professional Counselor · New Haven, CT
NPI number
1003013772
Active
Practice location
374 Grand Ave
New Haven, CT 06513-3733
Mailing address
604 Manhattan Ave Apt 3L
Brooklyn, NY 11222-3930
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | 7051 (CT) |
Professional Counselor: Definition to come...
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About NPI 1003013772
Agustina Fougere, MA LPC's National Provider Identifier is 1003013772, issued on Jun 27, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in New Haven, CT. The record was last updated on Jan 7, 2025.