Clayt0n Augustine
Counselor, Pastoral in Klamath Falls, OR. Individual provider (NPI-1).
NPI number1457723637
StatusActive
Last updated in NPPESOct 27, 2015
Details
- NPI
- 1457723637
- Entity type
- Individual (NPI-1)
- Name
- Clayt0n Augustine
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2015
- Last updated
- Oct 27, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP1600X | Counselor, Pastoral | – | – | Yes |
Practice location
2210 N Eldorado AveKlamath Falls, OR 97601-6418
Phone 541-883-1030
Mailing address
7019 Verda Vista PlKlamath Falls, OR 97603-7793
Phone 541-228-8292
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