Individual
MRS. NICOLE RAE ASHMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 923-4105
(618) 937-1440
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 923-4105
(618) 937-1440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.007280
IL
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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