Individual
ASHLEY BROOKE WINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LASOP
Contact information
Practice address
1831 BAY SCOTT CIR STE 105, NAPERVILLE, IL 60540-1115
(630) 590-9522
Mailing address
6131 RIVER BEND DR, LISLE, IL 60532-4510
(815) 997-0326
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.017671
IL
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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