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MRS. BRENDA S ASHLEY BS, MHP

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1275766222

Individual Registrant:
MRS. BRENDA S ASHLEY BS, MHP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
408 E VINE ST  VIENNA, IL 62995-1612 US
Tel: 618-658-2611  Fax: --

Contact information for business:
PO BOX 105  GOREVILLE, IL 62939-0105 US
Tel: 618-751-0752  Fax: --

Registration Information:
NPI: 1275766222
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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