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Individual

ASHLEY CAROL GOLLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
700 2ND ST SE STE 101, HAMPTON, IA 50441-2658
(641) 812-1094
(641) 812-1096
Mailing address
1316 S MAIN ST, CLARION, IA 50525-2019
(515) 602-9833
(319) 343-1161

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
001702
IA

Other

Enumeration date
09/05/2013
Last updated
08/13/2024
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