Individual
ASHLEE RACHELLE EDGERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, NCC
Contact information
Practice address
220 S ELM ST, ZIONSVILLE, IN 46077-1601
(317) 873-8140
Mailing address
220 S ELM ST, ZIONSVILLE, IN 46077-1601
(317) 873-8140
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002376A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39002376A
STATE LICENSE NUMBER
IN
Enumeration date
06/13/2012
Last updated
10/04/2012
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