Organization · Type 2 NPI

Jacquelyn E Augustine Psy.d PC

Mental Health Clinic/Center (Including Community Mental Health Center) · New Lenox, IL

NPI number 1083366470 Active

Practice location

1938 E Lincoln Hwy
New Lenox, IL 60451-3810

Mailing address

11784 Golden Gate Dr
Mokena, IL 60448-2033

Other practice locations

  • 11784 Golden Gate Dr, Mokena, IL 60448-2033 · (708) 214-2448

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

15 other providers at this address

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About NPI 1083366470

Jacquelyn E Augustine Psy.d PC's National Provider Identifier is 1083366470, issued on Jan 26, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in New Lenox, IL. The record was last updated on Feb 22, 2022.