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Maria T Deaugustino, LPC
Professional Counselor in West Middlesex, Pennsylvania
NPI 1831213784

Maria T Deaugustino is a Professional Counselor based in New Wilmington, PA and is specialized in Professional. Maria T Deaugustino practices in West Middlesex, PA and has the professional credentials of LPC. The NPI Number for Maria T Deaugustino is 1831213784 and holds a License No. PC001064 (Pennsylvania).

The current practice location address for Maria T Deaugustino is 3143 Main St Ste 3, West Middlesex, PA and can be reached out via phone at 724-674-1594.

Location: 3143 Main St Ste 3, West Middlesex, PA, 16142-1623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831213784
Provider Name
Maria T Deaugustino
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3143 Main St Ste 3, West Middlesex, PA, 16142-1623
Phone Number
724-674-1594
Fax Number
Provider Enumeration Date
03/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110704 01 PA VALUE OPTIONS VENDOR NUMB
001308035 01 PA MANAGED CARE VENDOR NUMBE
001578297 01 PA KEYSTONE BLUE WEST
institution
Provider Business Practice Location Address Details
Address
3143 Main St Ste 3
City
West Middlesex
State
Pennsylvania
Zip
16159-3419
Phone Number
724-674-1594
Fax Number
person
Provider Business Mailing Address Details
Address
3143 Main St Ste 3
City
West Middlesex
State
Pennsylvania
Zip
16159-3419
Phone Number
724-674-1594
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
PC001064 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
PC001064 (Pennsylvania)
Definition
Definition to come...
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