Individual provider · NPI-1

Ketty Augustin, LAPC, LCPC

Counselor, Mental Health · Glen Burnie, MD

NPI number1881365070
StatusActive
Last updated in NPPESJan 10, 2024

Details

NPI
1881365070
Entity type
Individual (NPI-1)
Name
Ketty Augustin
Credential
LAPC, LCPC
Sex
Female
Sole proprietor
No
Enumeration date
Sep 27, 2021
Certification date
Jan 10, 2024
Last updated
Jan 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

1410 Crain Hwy N
Glen Burnie, MD 21061-9303

Phone 410-553-4450

Mailing address

1410 Crain Hwy N
Glen Burnie, MD 21061-9303

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