Karen Augustyn, LCPC, CADC

Individual provider Active NPI Professional Counselor · Wood River, IL

NPI 1700947496 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1700947496
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
114 Whitelaw Ave
Wood River, IL 62095-1911
Phone
(618) 251-4225
Fax
(618) 251-4586
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
180-005103ILMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X IL Yes

Addresses

Primary practice location

114 Whitelaw Ave
Wood River, IL 62095-1911

Mailing address

114 Whitelaw Ave
Wood River, IL 62095-1911
Phone (618) 251-4225

Other names

  • Karen Wright-Augustyn Former name

Other providers in Wood River, IL

All providers in Wood River, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.