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Individual

MRS. ASHLEY FRANCES CHARBONNEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LAC

Contact information

Practice address
16082 CLAYTON ST, THORON, CO 80202
(970) 319-7986
Mailing address
16082 CLAYTON ST, THORON, CO 80202
(970) 319-7986

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001517
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09924270
CO
1041C0700X
Clinical Social Worker
LSW9920517
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19312521
CO
Enumeration date
10/28/2015
Last updated
06/22/2022
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