Individual
ASHLEY ANNE WOLTJER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
715 W MAIN ST STE L, JENKS, OK 74037-3553
(918) 280-9166
Mailing address
715 W MAIN ST STE L, JENKS, OK 74037-3553
(918) 280-9166
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10238
OK
171M00000X
Case Manager/Care Coordinator
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200892560A
—
OK
Enumeration date
12/19/2019
Last updated
11/23/2022
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