Provider Demographics
NPI:1093083529
Name:AUGUSTA, KRISTINE MICHELE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:MICHELE
Last Name:AUGUSTA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:KRISTINE
Other - Middle Name:MICHELE
Other - Last Name:MUELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:124 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93908-9601
Mailing Address - Country:US
Mailing Address - Phone:805-440-1090
Mailing Address - Fax:831-455-4789
Practice Address - Street 1:124 RIVER RD
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93908-9601
Practice Address - Country:US
Practice Address - Phone:805-440-1090
Practice Address - Fax:831-455-4789
Is Sole Proprietor?:No
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker