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Individual

MS. MORGAN ASHLEY MAXWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CT

Contact information

Practice address
304 MADISON ST, PORT CLINTON, OH 43452-1937
(419) 734-5535
Mailing address
930 CLINTON ST, FREMONT, OH 43420-2110
(567) 201-6341

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2304963-TRNE
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
C.2304963-TRNE
OH
101YM0800X
Mental Health Counselor
C.2304963-TRNE
OH
101YP2500X
Professional Counselor
C.2304963-TRNE
OH

Other

Enumeration date
08/29/2023
Last updated
09/22/2023
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