Individual
ASHLEY NICOLE CERESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
JD, LMSW
Contact information
Practice address
5108 N DEL REY DR, OTIS ORCHARDS, WA 99027-5105
(831) 227-3768
Mailing address
5108 N DEL REY DR, OTIS ORCHARDS, WA 99027-5105
(831) 227-3768
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
ID
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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