Bridget Austin, C.A.S.

Individual provider Active NPI Mental Health Counselor · San Jacinto, CA

NPI 1992839633 · NPPES record last updated Mar 24, 2008

Key facts

NPI
1992839633
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
102 W Main St
San Jacinto, CA 92583-4121
Phone
(951) 327-5104
Fax
(951) 929-6469
NPI assigned
Mar 15, 2007
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

102 W Main St
San Jacinto, CA 92583-4121

Mailing address

102 West Main Street
San Jacinto, CA 92583-2722
Phone (951) 327-5104

Other providers in San Jacinto, CA

All providers in San Jacinto, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.