Individual
ASHLEY BORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 MCHENRY AVE STE A&B, MODESTO, CA 95350-5370
(209) 527-4597
Mailing address
2215 TIDEWIND DR, STOCKTON, CA 95206-4968
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
03/09/2023
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