Provider Demographics
NPI:1508504275
Name:AUGUSTYN, ASHLEE (BA, CADC)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:AUGUSTYN
Suffix:
Gender:F
Credentials:BA, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:0N060 EASTON AVE
Mailing Address - Street 2:
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-3606
Mailing Address - Country:US
Mailing Address - Phone:630-853-1244
Mailing Address - Fax:
Practice Address - Street 1:400 E LINCOLN HWY STE 102
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-1993
Practice Address - Country:US
Practice Address - Phone:217-318-1076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)