Austin Bango
Counselor in Clarksville, TN. Individual provider (NPI-1).
NPI number1770158784
StatusActive
Last updated in NPPESMay 21, 2021
Details
- NPI
- 1770158784
- Entity type
- Individual (NPI-1)
- Name
- Austin Bango
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 21, 2021
- Certification date
- May 21, 2021
- Last updated
- May 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
511 8th StClarksville, TN 37040-3093
Phone 931-920-7200
Mailing address
2191 Memorial Dr Apt B16Clarksville, TN 37043-4407
Phone 980-925-9363
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All 68 Counselor providers in Clarksville · All 4,403 providers in Clarksville
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