Individual
ASHLEIGH PANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
585 JEWETT RD, MASON, MI 48854-8729
(517) 676-5405
(517) 676-5460
Mailing address
585 JEWETT RD, MASON, MI 48854-8729
(517) 676-5405
(517) 676-5460
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
6401014152
MI
Other
Enumeration date
10/17/2011
Last updated
05/05/2014
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