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Individual

MRS. ASHLEY D FLAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA, QMHP-C,A

Contact information

Practice address
821 N 10TH ST, FORT SMITH, AR 72901-1505
(615) 347-3115
Mailing address
4288 CARTEGENA WAY, LAS VEGAS, NV 89121-6504
(615) 347-3115

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0732003115
VA
101YM0800X
Mental Health Counselor
0733002710
VA

Other

Enumeration date
03/10/2022
Last updated
03/10/2022
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