Individual
ASHLEY DUFFIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP, MA
Contact information
Practice address
8 EXECUTIVE DR STE 200, FAIRVIEW HEIGHTS, IL 62208-1350
(618) 688-4749
Mailing address
8 EXECUTIVE DR STE 200, FAIRVIEW HEIGHTS, IL 62208-1350
(618) 688-4749
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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