JACQUELINE AGUSTA MSW, LCSW, LCAS
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1073170726- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MSW, LCSW, LCAS
- Status
- Active
Contact & Location
- Address
- 3012 FALSTAFF RD, RALEIGH, NC, 276101813
- Phone
- (919) 740-8601
Specialties & Taxonomies
Counselor, Addiction (Substance Use Disorder)
License: NC #LCAS-25813
Social Worker, Clinical
Primary License: NC #C014155
All Addresses
MAILING
127 S ATLEY LN
CARY, NC, 275134136