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Individual

ASHLEY E TISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1405 US HWY 1, HANCOCK, ME 04640-3463
(207) 477-7100
Mailing address
PO BOX 302, HANCOCK, ME 04640-0302
(207) 477-7100

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC7326
ME

Other

Enumeration date
10/06/2021
Last updated
01/07/2024
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